A new ultrasound-guided surgical technique to fix acute tibial posterior cruciate ligament avulsion fracture

被引：0

作者：

Luo, Hao ^{[1
]}

Li, Lin-Feng ^{[2
]}

Han, Song ^{[1
]}

Pan, Yu ^{[1
]}

Xu, Fei-Ju ^{[3
]}

Liu, Tao ^{[1
]}

机构：

[1] Jiangsu Univ, Affiliated Peoples Hosp, Dept Orthopaed Surg, Zhenjiang 212002, Jiangsu, Peoples R China

[2] 958th Hosp Chinese Peoples Liberat Army, Southwest Hosp Jiangbei Area, Dept Orthopaed, Chongqing, Sichuan, Peoples R China

[3] Jiangsu Univ, Affiliated Peoples Hosp, Dept Ultrasound Med, Zhenjiang, Jiangsu, Peoples R China

来源：

JOURNAL OF EXPERIMENTAL ORTHOPAEDICS | 2025年 / 12卷 / 01期

关键词：

Adjustable-loop cortical button; Posterior cruciate ligament; Suspensory fixation; Tibial avulsion fracture; Ultrasound; INTERNAL-FIXATION; SUTURE FIXATION; MANAGEMENT; REDUCTION; INJURIES;

D O I：

10.1002/jeo2.70191

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：

Purpose This study aims to describe a novel minimally invasive technique for the treatment of acute tibial posterior cruciate ligament (PCL) avulsion fracture. Methods This retrospective study included seven patients who underwent ultrasound-guided fixation for acute PCL tibial avulsion fractures by using an adjustable-loop device between January 2021 and January 2023. Before the surgery, the maximum diameter, area and displacement distance of the fragments were measured using computed tomography examination. All patients were followed up for at least 12 months, and clinical outcomes were assessed on the basis of range of motion, the International Knee Documentation Committee Score and the Lysholm score. Results For the seven patients, the mean maximum diameter, area and displacement distance of preoperative avulsion fragments were 12.7 mm (range, 9.0-48.3), 128 mm2 (range, 63-256.2) and 5.9 mm (range, 3.8-7.2), respectively. These fractures were fixed using an adjustable-loop suspensory device under ultrasound guidance. Based on x-ray examination during the post-operative follow-up period, all patients had no fracture displacement and fracture unions were confirmed, with a mean union time of 10.28 +/- 2.13 weeks (range, 8-14). Based on the knee function assessment at 12-month post-operative follow-up visit, all patients demonstrated excellent clinical outcomes. Conclusions Ultrasound-assisted internal fixation using an adjustable-loop device demonstrated satisfactory clinical and radiographic results. This technique has the advantages of being minimally invasive, safe, stable, convenient to operate and thus could be considered as a feasible alternative for the treatment of acute tibial PCL avulsion fractures.

引用

页数：8

共 25 条

[1] Abdallah A.A., Arafa M.S., Treatment of posterior cruciate ligament tibial avulsion by a minimally-invasive open posterior approach, Injury, 48, 7, pp. 1644-1649, (2017)
[2] Akagi R., Muramatsu Y., Mukoyama S., Sugiyama H., Yamaguchi S., Ohtori S., Et al., Arthroscopic reduction and internal fixation of posterior cruciate ligament avulsion fracture using an adjustable-length loop device, Arthrosc Tech, 9, 12, pp. e2001-e2006, (2020)
[3] Ambra L.F.M., Franciozi C.E.S., Werneck L.G.M., de Queiroz A.A.B., Yamada R.K., Granata G.S.M., Et al., Posteromedial versus direct posterior approach for posterior cruciate ligament reinsertion, Orthopedics, 39, 5, pp. e1024-e1027, (2016)
[4] Bali K., Prabhakar S., Saini U., Dhillon M.S., Open reduction and internal fixation of isolated PCL fossa avulsion fractures, Knee Surg Sports Traumatol Arthrosc, 20, 2, pp. 315-321, (2012)
[5] Gavaskar A.S., Karthik B., Gopalan H., Srinivasan P., Tummala N.C., A novel MIS technique for posterior cruciate ligament avulsion fractures, Knee, 24, 4, pp. 890-896, (2017)
[6] Gui J., Wang L., Jiang Y., Wang Q., Yu Z., Gu Q., Single-tunnel suture fixation of posterior cruciate ligament avulsion fracture, Arthroscopy, 25, 1, pp. 78-85, (2009)
[7] Hooper P.O., Silko C., Malcolm T.L., Farrow L.D., Management of posterior cruciate ligament tibial avulsion injuries: a systematic review, Am J Sports Med, 46, 3, pp. 734-742, (2018)
[8] Johnson J., Gupton M., Schneider J., Deivaraju C., Symptomatic nonunion after a tibial-sided posterior cruciate ligament avulsion fracture treated with open repair: a case report, JBJS Case Connector, 11, 3, (2021)
[9] Kannus P., Bergfeld J., Jarvinen M., Johnson R.J., Pope M., Renstrom P., Et al., Injuries to the posterior cruciate ligament of the knee, Sports Med, 12, 2, pp. 110-131, (1991)
[10] Khalifa A.A., Elsherif M.E., Elsherif E., Refai O., Posterior cruciate ligament tibial insertion avulsion, management by open reduction and internal fixation using plate and screws through a direct posterior approach, Injury, 52, 3, pp. 594-601, (2021)

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