{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T15:03:37Z","timestamp":1775919817789,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":77,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Tibial spine avulsion fractures compromise ACL function and are common in children and adolescents. Traditional fixation methods may risk physeal injury and intra\u2010articular damage. Arthroscopic suture\u2010based techniques offer a minimally invasive, physeal\u2010sparing alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010five patients (mean age: 19 years) with type II\u2013IV tibial spine fractures underwent arthroscopic anterior row suture fixation using knotless anchors. Functional outcomes as Lysholm, Internation Knee Documentation Committee rating score (IKDC), Range of motion (ROM), stability, and radiological healing were assessed over 24 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients achieved radiographic union (mean: 16 weeks). Final follow\u2010up showed restoration of pre\u2010injury Lysholm (94\u2009\u00b1\u20095 to 93.6\u2009\u00b1\u20090.8), IKDC (84\u2009\u00b1\u20097 to 83.9\u2009\u00b1\u20090.7), and ROM (142\u00b0\u2013140\u00b0). No instability, growth disturbance, or hardware\u2010related complications were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This technique provides stable fixation, preserves the physis, and avoids intra\u2010articular hardware. Functional and radiological outcomes were excellent, supporting arthroscopic suture fixation as a safe and effective option for tibial spine avulsion fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, prospective study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70692","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T03:00:34Z","timestamp":1773975634000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Good functional outcomes and radiological union following arthroscopic knotless anchor fixation of tibial spine avulsion fractures: A prospective clinical study"],"prefix":"10.1002","volume":"13","author":[{"given":"Mukesh","family":"Laddha","sequence":"first","affiliation":[{"name":"RNH Hospital Nagpur 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