All-arthroscopic treatment of tibial avulsion fractures of the posterior cruciate ligament

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
Clemens GwinnerTobias M Jung

Abstract

The posterior cruciate ligament (PCL) avulsion fracture from its tibial insertion is a rare condition. Despite the further technical advent in refixation of avulsion fractures, the reported failure rate of current approaches remains high and the optimal surgical technique has not been elucidated yet. The purpose of the current study is to present an all-inside arthroscopic reconstruction technique for bony tibial avulsion fractures of the PCL and initial clinical outcomes. Patients underwent a thorough clinical and radiological examination of both knees at 3, 6, 12, 18, and if possible also at 24 months. Clinical evaluation included subjective and objective IKDC 2000, Lysholm score, and KOOS score. Radiographic imaging studies included CT scans for assessment of osseous integration and anatomic reduction of the bony avulsion. In addition to that posterior stress radiographs of both knees using the Telos device (Arthrex, Naples, USA) were conducted to measure posterior tibial translation. A total of four patients (1 female, 3 male; ø 38 (± 18) years), who underwent arthroscopic refixation of a PCL avulsion fracture using the Tight Rope device were enrolled in this study. Mean follow up was 22 [18-24] months. The mean subjective ...Continue Reading

Citations

Jan 19, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·M M Reverte-VinaixaJ Minguell
Sep 8, 2019·Operative Orthopädie und Traumatologie·Philipp ForkelLukas Willinger
Mar 7, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp ForkelAndreas Schmitt

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