Kids ACL Injury: Why the Bone Breaks Instead of the Ligament

The ACL surgery where we do not replace the ACL. #shorts Most torn ACLs need a new graft. A tibial spine avulsion fracture is different. In children roughly 8-14 years old, and occasionally in adults, the ligament is stronger than the still-developing bone it anchors into. When the knee twists or hyperextends, the ACL holds and pulls a fragment of bone off the top of the tibia instead. The ligament is intact - the anchor is not. These injuries are graded by displacement. Nondisplaced fractures, and partially displaced fractures that reduce well, can often be managed with immobilization in extension. Completely displaced fragments, or those that will not reduce, typically need surgical fixation. A common reason a fragment will not reduce is soft tissue trapped in the fracture bed, most often the medial meniscus or the intermeniscal ligament. That is why MRI matters in planning, both to assess the fragment and to identify associated meniscal, cartilage, or ligament injuries. Arthroscopically, the fracture bed is cleared of clot and debris. High-strength sutures are passed around the base of the ACL, shuttled down through small tunnels in the tibia, and tensioned against the bone to seat the fragment back in its anatomic position. Suture and screw fixation are both options, and the choice depends on fragment size, comminution, and protection of the growth plate in younger patients. #TibialSpineFracture #KneeSurgery Recovery matters just as much as the repair. Stiffness is a known complication after this injury, so stable fixation and early, guided motion are central to getting full extension back. SHARE your #ACLinjury experience & insights . 📲 SUBSCRIBE NOW for new #surgery videos 𝗖𝗢𝗥𝗬 𝗖𝗔𝗟𝗘𝗡𝗗𝗜𝗡𝗘, 𝗠𝗗 | Orthopedic Surgeon · Franklin/Nashville, Tennessee 🌐 corycalendinemd.com/ 📅 Free joint replacement guide: corycalendinemd.com/free-joint-replacement-guide/ 🌐 See Dr. Calendine in your Google & AI search results: corycalendinemd.com/preferred 📍 Bone and Joint Institute of Tennessee · 3000 Edward Curd Lane, Franklin, TN 37067 📞 (615) 791-2630 About Dr. Cory Calendine, MD - 3000 Edward Curd Lane, Franklin, TN 37067 In the operating room, I get to perform more than 700 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health. #orthopedicsurgeon #jointreplacement THANK YOU for your comments, questions and suggestions. If there’s a medical topic or question you want me to discuss, please comment below. We are building a library of orthopedic medical video content focused on your requests and responses. 📽️ Watch latest hip & knee surgery videos ▶️    / @bonedoctor_youtube   𝐋𝐄𝐓'𝐒 𝐂𝐎𝐍𝐍𝐄𝐂𝐓: TikTok ▶️ www.tiktok.com/@corycalendinemd LinkTree ▶️ linktr.ee/corycalendinemd 𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑𝐒: Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional. JBJSmedia Tibial Spine Avulsion Fracture Reduction Using ACL Repair TightRope® Implant