Arthroscopic M-shaped suture fixation for tibia avulsion fracture of posterior cruciate ligament: A modified technique and case series

被引:1
作者
Zhang, Xiao-Hui [1 ,2 ]
Yu, Jian [1 ,2 ]
Zhao, Meng-Yao [1 ,2 ]
Cao, Jin-Hui [1 ,2 ]
Wu, Bing [1 ,2 ,3 ]
Xu, Dan-Feng [1 ,2 ,3 ]
机构
[1] Shaoxing Cent Hosp, Dept Orthopaed Surg, 1 Hua yu Rd, Shaoxing 312000, Zhejiang, Peoples R China
[2] Shaoxing Univ, Cent Hosp, Dept Orthopaed Surg, Shaoxing 312000, Zhejiang, Peoples R China
[3] Shaoxing Cent Hosp, Cent Lab, Shaoxing 312000, Zhejiang, Peoples R China
来源
WORLD JOURNAL OF ORTHOPEDICS | 2024年 / 15卷 / 07期
关键词
Posterior cruciate ligament; Avulsion fracture; Arthroscopic; Case series; Suture fixation; INJURIES; KNEE;
D O I
10.5312/wjo.v15.i7.642
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
BACKGROUND Tibial avulsion fractures of the posterior cruciate ligament (PCL) are challenging to treat and compromise knee stability and function. Traditional open surgery often requires extensive soft tissue dissection, which may increase the risk of morbidity. In response to these concerns, arthroscopic techniques have been evolving. The aim of this study was to introduce a modified arthroscopic technique utilizing an M-shaped suture fixation method for the treatment of tibial avulsion fractures of the PCL and to evaluate its outcomes through a case series. AIM To evaluate the effects of arthroscopic M-shaped suture fixation on treating tibia avulsion fractures of the PCL. METHODS We developed a modified arthroscopic M-shaped suture fixation technique for tibia avulsion fractures of the PCL. This case series included 18 patients who underwent the procedure between January 2021 and December 2022. The patients were assessed for range of motion (ROM), Lysholm score and International knee documentation committee (IKDC) score. Postoperative complications were also recorded. RESULTS The patients were followed for a mean of 13.83 +/- 2.33 months. All patients showed radiographic union. At the final follow-up, all patients had full ROM and a negative posterior drawer test. The mean Lysholm score significantly improved from 45.28 +/- 8.92 preoperatively to 91.83 +/- 4.18 at the final follow-up (P < 0.001), and the mean IKDC score improved from 41.98 +/- 6.06 preoperatively to 90.89 +/- 5.32 at the final follow-up (P < 0.001). CONCLUSION The modified arthroscopic M-shaped suture fixation technique is a reliable and effective treatment for tibia avulsion fractures of the PCL, with excellent fracture healing and functional recovery.
引用
收藏
页码:642 / 649
页数:9
相关论文
共 23 条
[1]  
Chen LB, 2015, BONE JOINT J, V97B, P1220, DOI [10.1302/0301-620X.97B9.35765, 10.1302/0301-620X.97B9]
[2]   Arthroscopic Suture Fixation for Avulsion Fractures in the Tibial Attachment of the Posterior Cruciate Ligament [J].
Chen, Szu-Yuan ;
Cheng, Chun-Ying ;
Chang, Shih-Sheng ;
Tsai, Min-Chain ;
Chiu, Chih-Hao ;
Chen, Alvin Chao-Yu ;
Chan, Yi-Sheng .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2012, 28 (10) :1454-1463
[3]   Systematic Review and Meta-analysis of Clinical Outcomes After Management of Posterior Cruciate Ligament Tibial Avulsion Fractures [J].
Gopinatth, Varun ;
Mameri, Enzo S. ;
Casanova, Felipe J. ;
Khan, Zeeshan A. ;
Jackson, Garrett R. ;
McCormick, Johnathon R. ;
Brophy, Robert H. ;
Knapik, Derrick M. ;
LaPrade, Robert F. ;
Chahla, Jorge .
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE, 2023, 11 (09)
[4]   Cruciate ligament avulsion fractures [J].
Griffith, JF ;
Antonio, GE ;
Tong, CWC ;
Ming, CK .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2004, 20 (08) :803-812
[5]   Single-Tunnel Suture Fixation of Posterior Cruciate Ligament Avulsion Fracture [J].
Gui, Jianchao ;
Wang, Liming ;
Jiang, Yiqiu ;
Wang, Qin ;
Yu, Zhong ;
Gu, Qianglong .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2009, 25 (01) :78-85
[6]  
Hefti F, 1993, Knee Surg Sports Traumatol Arthrosc, V1, P226
[7]   Management of Posterior Cruciate Ligament Tibial Avulsion Injuries A Systematic Review [J].
Hooper, Perry O., III ;
Silko, Chris ;
Malcolm, Tennison L. ;
Farrow, Lutul D. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2018, 46 (03) :734-742
[8]   Posterior Cruciate Ligament Avulsion Fractures [J].
Katsman, Anna ;
Strauss, Eric J. ;
Campbell, Kirk A. ;
Alaia, Michael J. .
CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE, 2018, 11 (03) :503-509
[9]   Arthroscopically assisted treatment of avulsion fractures of the posterior cruciate ligament from the tibia [J].
Kim, SJ ;
Shin, SJ ;
Choi, NH ;
Cho, SK .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (05) :698-708
[10]   Emerging Updates on the Posterior Cruciate Ligament: A Review of the Current Literature [J].
LaPrade, Christopher M. ;
Civitarese, David M. ;
Rasmussen, Matthew T. ;
LaPrade, Robert F. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2015, 43 (12) :3077-3092