Tibial Spine Avulsion Fractures in Adult: Diagnostic and Therapeutic Actuality

Tibial spine fractures are rare lesions which usually occur in adolescent but rare in adults it leads to discontinuity of anterior cruciate ligament. It has been the subject of several publications concerning its anatomopathological presentation and its treatment. The Meyers and Mac Keever classification, modified by Zaricznyj, are the most used and allowed to classify the lesions into 4 types. The treatment of displaced fractures requires surgical reduction and fixation in order to achieve adequate tension in the anterior cruciate ligament and to reduce the risk of laxity, in order to better check the integrity of the anterior cruciate ligament and to guarantee a good stability of the knee and to reduce the risk of laxity, several fixation techniques are described ranging from racking and screwing to osteosuture, currently the surgical reduction can be performed under arthroscopy with the same basic principles of osteosynthesis as arthrotomy but with more advantage and innovative and attractive techniques.