Tibial Spine Avulsion Repair With FiberRing Suture and Anterior Cruciate Ligament Repair TightRope

Nicholas R Williams; Sophia Yin; Alvarho J Guzman; Patrick Waldron; Ethan Vallelanes; Caleb Shin; James L Chen

doi:10.1016/j.eats.2023.08.008

Tibial Spine Avulsion Repair With FiberRing Suture and Anterior Cruciate Ligament Repair TightRope

Arthrosc Tech. 2023 Nov 27;12(12):e2381-e2385. doi: 10.1016/j.eats.2023.08.008. eCollection 2023 Dec.

Authors

Nicholas R Williams¹, Sophia Yin¹, Alvarho J Guzman¹, Patrick Waldron¹, Ethan Vallelanes¹, Caleb Shin¹, James L Chen¹

Affiliation

¹ Advanced Orthopedics and Sports Medicine, San Francisco, California, U.S.A.

Abstract

Tibial spine avulsion fractures occur predominantly in children and young adults and are an uncommon type of knee injury. To ensure knee stability and preserve range of motion with minimal knee laxity, it is essential to restore anterior cruciate ligament length through surgical reduction and fixation of the fracture. Achieving anatomic reduction of tibial spine avulsion fractures with an arthroscopic approach is a technically complex procedure. In this Technical Note and accompanying video, we describe a unique fixation repair of tibial spine avulsion fractures using Arthrex FiberRing sutures and an Arthrex ACL Repair TightRope. The technique presented is an effective method to reduce tibial spine avulsion fractures to anatomic position with a variable tensioning system that allows for a strong and secure fixation method.