Arthroscopic Reduction and Internal Fixation of Tibial Eminence Fractures With Transosseous Suture Bridge Fixation

Theodore Wolfson; Amar S Vadhera; Kevin Parvaresh; Nikhil Verma; Robert F LaPrade; Jorge Chahla

doi:10.1016/j.eats.2020.12.003

Arthroscopic Reduction and Internal Fixation of Tibial Eminence Fractures With Transosseous Suture Bridge Fixation

Arthrosc Tech. 2021 Mar 12;10(4):e1039-e1046. doi: 10.1016/j.eats.2020.12.003. eCollection 2021 Apr.

Authors

Theodore Wolfson¹, Amar S Vadhera¹, Kevin Parvaresh¹, Nikhil Verma¹, Robert F LaPrade¹, Jorge Chahla¹

Affiliation

¹ Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Abstract

Arthroscopic reduction-internal fixation (ARIF) is an increasingly popular option for surgical management of displaced tibial eminence fractures. Although a variety of ARIF techniques have been described, anatomic reduction and stable fixation remain challenging. As a result, complications such as malunion, nonunion, anterior instability, arthrofibrosis, and hardware issues persist. In an effort to reduce complications and improve outcomes, modern suture-based ARIF techniques have been developed. However, the optimal technique and construct remain elusive. This article presents a technique for ARIF of tibial eminence fractures using a transosseous suture bridge construct with extracortical fixation. This technique uses a commercially available suture-passage device and meniscal root repair system for accurate tunnel placement, efficient suture management, and reliable fixation.