{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:09:32Z","timestamp":1792757372981,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,11,20]],"date-time":"2004-11-20T00:00:00Z","timestamp":1100908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This paper reports the clinical outcome of the arthroscopic reduction and pull\u2010out suture technique in acute and chronic displaced tibial spine anterior cruciate ligament (ACL) avulsion fractures. Between April 1997 and December 2000, 14 patients received an arthroscopic reduction and pull\u2010out suturing of displaced tibial spine fractures (ACL avulsion fractures of tibia). Of 14 cases, ten were acute fractures and four were chronic nonunion fractures, in which all patients showed extension limitation. The mean follow\u2010up period was 51\u00a0months (ranging from 30 to 80\u00a0months). At final follow\u2010up, review of range of motion, Lachman test, anterior drawer test, KT\u20102000 arthrometer, Lysholm knee score, and Hospital for Special Surgery (HSS) score were evaluated. Compared to conventional pull\u2010out suturing, several key modifications to surgical techniques were used. In all 14 patients, radiological bony union was detected at mean 12.3 weeks (range, 8\u201316 weeks) after surgery. All patients were able to return to their preinjury activity and sports level. At final follow\u2010up, full range of motion was achieved in all patients. Anterior draw test, Lachman test, and KT\u20102000 (less than 3\u00a0mm side\u2010to\u2010side) were all negative in 13 patients. One female patient, who was 6 years old at the time of surgery, complained of no subjective instability, but showed Lachman grade I, and 5\u00a0mm side\u2010to\u2010side difference in KT\u20102000. She also revealed 10\u00b0\u0307 difference of genu recurvatum deformity. Two children (including the previously\u2010mentioned 6\u2010year\u2010old female patient) showed leg\u2010length discrepancy of 1\u00a0cm\u2014the affected legs being longer\u2014at final follow\u2010up. The mean Lysholm knee scores were 95.6 (range, 92\u2013100) and HSS knee scores were 96.4 (range, 91\u2013100). Arthroscopic reduction with modified pull\u2010out suturing technique in displaced tibial spine ACL avulsion fractures showed excellent union rate for both acute and chronic cases, without instability or extension limitations at minimum two\u2010year follow\u2010up.<\/jats:p>","DOI":"10.1007\/s00167-004-0540-6","type":"journal-article","created":{"date-parts":[[2004,11,19]],"date-time":"2004-11-19T12:07:14Z","timestamp":1100866034000},"page":"116-121","source":"Crossref","is-referenced-by-count":95,"title":["Clinical outcome of arthroscopic reduction and suture for displaced acute and chronic tibial spine fractures"],"prefix":"10.1002","volume":"13","author":[{"given":"Jin Hwan","family":"Ahn","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Chul","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Eulji University School of Medicine Eulji Hospital 280\u20101 Haegae 1\u2010dong, Nowongu 139\u2010231 Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,11,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B2.3346294"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90012-8"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.23573"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086\u2010200107000\u201000028"},{"key":"e_1_2_6_6_1","first-page":"12","volume-title":"AAOS symposium on arthroscopy and arthrography of the knee","author":"Eilert RE","year":"1978"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/000164701317323435"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/ar.1999.v15.015067"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.4821"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.10.014"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90025-6"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(91)90009-M"},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","unstructured":"LubowitzJH GrauerJDArthroscopic treatment of anterior cruciate ligament avulsion.Clin Orthop(1993)242\u2013246","DOI":"10.1097\/00003086-199309000-00034"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004694\u2010199601000\u201000024"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004694\u2010199807000\u201000014"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80193-8"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.64B4.6896515"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199501000-00013"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052080-00024"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00420267"},{"key":"e_1_2_6_21_1","first-page":"295","article-title":"Our experience in the arthroscopic treatment of fracture\u2010avulsion of the tibial spine","volume":"82","author":"Osti L","year":"1997","journal-title":"Chir Organi Mov"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70137-9"},{"key":"e_1_2_6_23_1","first-page":"114","article-title":"Arthroscopic treatment of an avulsion fracture of the intercondylar eminence of the tibia. Case report","volume":"8","author":"Prince AR","year":"1995","journal-title":"Am J Knee Surg"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759080-00022"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-004-0540-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-004-0540-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-004-0540-6","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:03:41Z","timestamp":1760875421000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-004-0540-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,11,20]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2005,3]]}},"alternative-id":["10.1007\/s00167-004-0540-6"],"URL":"https:\/\/doi.org\/10.1007\/s00167-004-0540-6","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,11,20]]}}}