Table 1.

Tips, Tricks, and Pitfalls Associated With Arthroscopic Suture Bridge Fixation of Tibial Intercondylar Eminence Fractures

Tips and Tricks

1. Debride the fracture bed to remove obstructions to fracture reduction.

2. Attempt a trial reduction with a probe before fixation.

3. Use a spinal needle to determine the appropriate position of the accessory high portals to access the fracture bed.

4. Use percutaneous retraction sutures around the transverse meniscal ligament to improve visualization and allow fracture reduction.

5. Place anchors at an angle to avoid physis in pediatric patients.

Pitfalls

1. Assess for concomitant intrasubstance ACL tears, especially in the adult patient.