Arthroscopic fixation of an avulsion fracture of the tibia involving the posterior cruciate ligament: a modified technique in a series of 22 cases

The Bone & Joint Journal
L B ChenY J Qi

Abstract

A total of 22 patients with a tibial avulsion fracture involving the insertion of the posterior cruciate ligament (PCL) with grade II or III posterior laxity were reduced and fixed arthroscopically using routine anterior and double posteromedial portals. A double-strand Ethibond suture was inserted into the joint and wrapped around the PCL from anterior to posterior to secure the ligament above the avulsed bony fragment. Two tibial bone tunnels were created using the PCL reconstruction guide, aiming at the medial and lateral borders of the tibial bed. The ends of the suture were pulled out through the bone tunnels and tied over the tibial cortex between the openings of the tunnels to reduce and secure the bony fragment. Satisfactory reduction of the fracture was checked arthroscopically and radiographically. The patients were followed-up for a mean of 24.5 months (19 to 28). Bone union occurred six weeks post-operatively. At final follow-up, all patients had a negative posterior drawer test and a full range of movement. KT-1000 arthrometer examination showed that the mean post-operative side-to-side difference improved from 10.9 mm (standard deviation (sd) 0.7) pre-operatively to 1.5 mm (sd 0.6) (p = 0.001). The mean Tegner and...Continue Reading

References

May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
Apr 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S G Littlejohn, W B Geissler
Apr 1, 1994·The Journal of Surgical Research·D GreenwaldL Gottlieb
Jan 1, 1993·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G C Fanelli
Sep 1, 1993·The Journal of Bone and Joint Surgery. American Volume·C D Covey, A A Sapega
Jan 1, 1993·The American Journal of Sports Medicine·P M KellerA C Rettig
Oct 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G C Fanelli, C J Edson
Jan 1, 1993·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F HeftiH U Stäubli
Jan 27, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·N H Choi, S J Kim
Jun 9, 1998·The American Journal of Sports Medicine·C D Harner, J Höher
Apr 5, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D J Deehan, L A Pinczewski
May 31, 2001·The Journal of Bone and Joint Surgery. American Volume·S J KimS K Cho
Sep 6, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S J KimH K Kim
Feb 13, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Konsei ShinoYukiyoshi Toritsuka
May 8, 2003·Archives of Orthopaedic and Trauma Surgery·M S SchulzM J Strobel
Jul 16, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Carlo Del Notaro, Thomas Hug
Sep 21, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Felipe Camara-ArrigunagaMichele D'Apuzzo
Feb 7, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jinzhong ZhaoJianhua Wang
Dec 13, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Patrick B WrightZong-Ping Luo
Nov 8, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Sandra Umeda SasakiCésar Augusto Martins Pereira
Dec 30, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jianchao GuiQianglong Gu
Oct 15, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Uwe HorasReinhard Schnettler
Aug 30, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Szu-Yuan ChenYi-Sheng Chan
Apr 12, 2014·PloS One·Stefan DöbeleThomas Freude
Aug 1, 1980·Orthopedics·M B ClendeninJ D Heckman
Jul 26, 2014·Acta ortopedica brasileira·Marcelo Batista BonadioFábio Janson Angelini

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Citations

Sep 30, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jung-Ro YoonDae-Hee Lee
Apr 25, 2017·The American Journal of Sports Medicine·Perry O HooperLutul D Farrow
Jul 28, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Silvampatti Ramaswamy SundararajanShanmuganathan Rajasekaran
Jan 21, 2021·The Journal of Knee Surgery·Harmen D VermeijdenGregory S DiFelice
Feb 5, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Wei ZhengBin Pan
Jun 7, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Joshua S Everhart, Robert G Klitzman

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