Management of Tibial Spine Fractures in Adults | ACL Tibial Eminence Avulsion Explained (arabic)

Video Description

Management of tibial spine fractures in adults (ACL tibial eminence avulsions) explained step by step for orthopedic students and residents.

In this lecture, we cover the definition, mechanism of injury, classification (Meyers–McKeever and modified classifications), imaging workup, and evidence-based management options for adult tibial eminence avulsion fractures, including nonoperative treatment, arthroscopic fixation techniques, open reduction, and postoperative rehabilitation.

This video is designed for orthopedic surgery residents, medical students, and young orthopedic consultants who want a clear understanding of how to approach adult tibial spine fractures, which are rare but frequently associated with ACL injuries and other intra-articular knee pathology.

Use the chapters below to navigate the lecture according to your study needs.

0:00 Introduction & objectives
1:30 Relevant anatomy & biomechanics of ACL tibial insertion
4:30 Mechanism of injury in adults & associated lesions
7:15 Classification of tibial spine fractures (Meyers–McKeever, Zaricznyj, Type I–IV)
11:00 Imaging: X-ray, CT, MRI – what to look for in adults
15:30 Indications for nonoperative vs operative management
20:00 Arthroscopic reduction & suture fixation – basic principles
25:00 Screw fixation, anchors, and hybrid techniques – pros and cons
30:00 Postoperative rehabilitation protocols in adults
34:00 Complications: arthrofibrosis, residual laxity, nonunion, malunion
39:00 Case-based discussion & practical tips for exams and practice
44:00 Key take-home messages & summary

By the end of this video, you will understand how to evaluate, classify, and treat adult tibial eminence avulsion fractures, choose the appropriate fixation method, and plan postoperative rehab while avoiding common pitfalls like arthrofibrosis and residual ACL laxity.

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