Table 2.

Advantages and Disadvantages of Tibial Spine Repair Techniques

Technique	Advantages	Disadvantages
Arthroscopic absorbable suture fixation	•Minimal morbidity and treatment of associated lesions •Low risk of bone fragmentation and ligament cutting •Applicable in highly fragmented fractures •Low risk of physis damage •Higher pullout strength and early motion •Easily reproducible •Low cost of hardware •No need for hardware removal	•High learning curve linked to knee arthroscopy surgical technique
Arthroscopic cannulated screw fixation	•Minimal morbidity and treatment of associated lesions •Stable fixation and early motion	•Risk of bone fragmentation and ligament cutting •Not applicable in highly fragmented fractures •Higher risk of physis damage •Need for second intervention for hardware removal •Higher cost of hardware •Limited operative space •High learning curve linked to knee arthroscopy surgical technique
Open reduction and internal fixation	•Direct vision of lesion •Lower learning curve	•Higher morbidity •Delayed beginning of motion