Results of Arthroscopic Treatment of Acute Posterior Cruciate Ligament Avulsion Fractures With Suspensory Fixation.

Authors:

Wei Zheng Wanxing Hou Ziyang Zhang Peicong Li Bing Zhou Hongwei Li Bin Pan

Arthroscopy 2021 Feb 2. Epub 2021 Feb 2.

Department of Orthopedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. Electronic address:

Purpose: This study aimed to evaluate the clinical outcomes for arthroscopic treatment for acute posterior cruciate ligament (PCL) avulsion fractures with a suspensory technique.

Methods: A total of 30 acute (<3 weeks) isolated PCL tibial avulsion fractures were fixed under arthroscopy using the Endobutton device. After arthroscopic exploration and reduction of the bony fragment, a single tibia tunnel was established; then, the titanium button was guided through the tunnel and flipped onto the bony fragment to stabilize the fracture. Finally, an interference screw was squeezed into the tunnel to fix the end of the loop. Clinical and functional outcomes were evaluated using the Lysholm score, the 2000 International Knee Documentation Committee (IKDC) subjective score, and the IKDC examination form.

Results: The mean follow-up time was 32 months (range, 24-47 months). The mean age of the patients was 41 years (range, 21-65 years). All patients achieved bony union and regained satisfactory knee function. No popliteal neurovascular complications or implant loosening was observed. The mean Lysholm score increased from 20.9 ± 7.0 before operation to 97.1 ± 2.7 at the final follow-up. The mean 2000 IKDC subjective score improved from 17.2 ± 5.2 to 96.8 ± 2.6. The IKDC examination grade also improved significantly.

Conclusions: This suspensory technique under arthroscopy is a simple, safe, and minimally invasive treatment for PCL tibial avulsion fracture. Suspensory fixation resulted in satisfactory outcomes, including good knee stability and fracture union; this technique can be a reliable alternative to various surgical methods.

Level Of Evidence: Level IV, therapeutic study.

Download full-text PDF	Source
http://dx.doi.org/10.1016/j.arthro.2021.01.044	DOI Listing

February 2021

Publication Analysis

Keyword Occurance

Similar Publications

Posterior knee arthroscopy facilitates the safe and effective all-inside repair of locked bucket-handle medial meniscal tear using a suture hook technique.

Authors:

Sohrab Keyhani Mehran Soleymanha Rene Verdonk Farzad Amouzadeh Mohammad Movahedinia Seyyed Morteza Kazemi

Knee Surg Sports Traumatol Arthrosc 2021 Apr 19. Epub 2021 Apr 19.

Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Sharifi Manesh Street, Shariati Street, Tehran, Iran.

Purpose: This study reported the outcomes of locked bucket-handle medial meniscal tear (BHMMT) repairs using an arthroscopic posterior approach during anterior cruciate ligament (ACL) reconstruction.

Methods: Between 2011 and 2014, 48 patients with BHMMTs and ACL tears who met the eligibility criteria were enrolled in the present study. BHMMTs were assessed using a posterolateral transseptal portal and repaired using a posteromedial portal. Read More

View Article and Full-Text PDF

April 2021

Similar Publications

Combined Anterolateral and Anterior Cruciate Ligament Reconstruction Improves Pivot Shift Compared to Isolated Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Authors:

Kyle N Kunze Joseph Manzi Michelle Richardson Alexander E White Carlo Coladonato Nicholas N DePhillipo Robert F LaPrade Jorge Chahla

Arthroscopy 2021 Apr 14. Epub 2021 Apr 14.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.

Purpose: The purpose of the current study was to perform a systematic review and meta-analysis of the literature on anterolateral ligament (ALL) reconstruction as it related to techniques, biomechanical properties, and clinical outcomes.

Methods: PubMed, OVID/Medline, and Embase were queried in July 2020. Data pertaining to (1)techniques, (2)biomechanical properties, and (3)clinical outcomes of ALL reconstruction were recorded. Read More

View Article and Full-Text PDF

April 2021

Similar Publications

Biceps Femoris Compensates for Semitendinosus After Anterior Cruciate Ligament Reconstruction With a Hamstring Autograft: A Muscle Functional Magnetic Resonance Imaging Study in Male Soccer Players.

Authors:

Thomas Tampere Jan Victor Thomas Luyckx Hannes Vermue Nele Arnout Erik Witvrouw Joke Schuermans

Am J Sports Med 2021 Apr 16:3635465211003309. Epub 2021 Apr 16.

Department of Rehabilitation Sciences, Ghent University, Faculty of Medicine and Health Sciences, Ghent, Belgium.

Background: Rates of reinjury, return to play (RTP) at the preinjury level, and hamstring strain injuries in male soccer players after anterior cruciate ligament reconstruction (ACLR) remain unsatisfactory, due to multifactorial causes. Recent insights on intramuscular hamstring coordination revealed the semitendinosus (ST) to be of crucial importance for hamstring functioning, especially during heavy eccentric hamstring loading. Scientific evidence on the consequences of ST tendon harvest for ACLR is scarce and inconsistent. Read More

View Article and Full-Text PDF

April 2021

Similar Publications

Posterior cruciate ligament repair with suture tape augmentation: a case series with minimum 2-year follow-up.

Authors:

Graeme P Hopper Ahmer Irfan Joanne M Jenkins William T Wilson Gordon M Mackay

J Exp Orthop 2021 Apr 15;8(1):28. Epub 2021 Apr 15.

University of Stirling, Stirling, UK.

Purpose: The posterior cruciate ligament (PCL) is an important stabilizer of the knee and can be damaged in up to 20% of ligamentous injuries. Numerous techniques for surgical treatment have been described in the literature with none shown to be clearly superior. The aim of this study was to assess the 2-year outcomes of PCL repair with suture tape augmentation. Read More

View Article and Full-Text PDF

April 2021

Similar Publications

Limited effect of anatomical insert geometry on in vitro laxity in balanced anatomic posterior cruciate ligament retaining total knee arthroplasty.

Authors:

Albert H van Houten Petra J C Heesterbeek Gerjon Hannink Luc Labey Ate B Wymenga

Knee Surg Sports Traumatol Arthrosc 2021 Apr 15. Epub 2021 Apr 15.

Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, Hengstdal 3, 6522 JV, Nijmegen, The Netherlands.

Purpose: The present study assessed the effect of insert articular surface geometry (anatomical versus conventional insert design) on anteroposterior (AP) translation and varus-valgus (VV) laxity in balanced posterior cruciate ligament (PCL) retaining total knee arthroplasty (TKA). Secondly, we evaluated if the AP translation and VV laxity in the reconstructed knee resembled the stability of the native knee.

Methods: Nine fresh-frozen full-leg cadaver specimens were used in this study. Read More

View Article and Full-Text PDF

April 2021

Similar Publications

Search Our Scientific Publications & Authors