Arthroscopic Bridge Technique for PCL Avulsion: Surgical Technique and Key Points

Document Type : TECHNICAL NOTE

Authors

1 Knee and Sport Medicine Research and Education Center, Milad Hospital, Tehran, Iran

2 Medical Student Hormozgan University of Medical Sciences, Knee and Sport Medicine Research and Education Center, Milad Hospital, Tehran, Iran

3 Shahid Beheshti University of Medical Sciences, Knee and Sport Medicine Education and Research Center, Tehran, Iran

Abstract

This study redescribes an arthroscopic bridge technique for repair of avulsion of the posterior cruciate ligament. The procedure is performed step-to-step. In this technique we created two bone tunnels in the anterior aspect of the tibia and inferior medial of the tibia tuberosity and then create suture fixation of the fragment using the suture bridge. The arthroscopic bridge technique was used in 3 patients. All were satisfied and returned to activities. This technique is a safe and effective method of repair of PCL avulsion that allows active mobilization with minimal risk of complication

Keywords

Main Subjects

References

1. Trickey E. Rupture of the posterior cruciate ligament
of the knee. J Bone Joint Surge Br. 1968;50(2):334-41.
2. Meyers M. Isolated avulsion of the tibial attachment
of the posterior cruciate ligament of the knee. J Bone
Joint Surg Am. 1975;57(5):669-72.
3. Rosenthal MD, Rainey CE, Tognoni A, Worms R. Evaluation
and management of posterior cruciate ligament injuries.
Physical Therapy in Sport. 2012;13(4):196-208.
4. Miyasaka K, Daniel D, Stone M, Hirshman P. The
incidence of knee ligament injuries in the general
population. Am J Knee Surg. 1991;4(1):3-8.
5. Schulz M, Russe K, Weiler A, Eichhorn H, Strobel
M. Epidemiology of posterior cruciate ligament
injuries. Archives of orthopaedic and trauma surgery.
2003;123(4):186-91.
6. Fanelli GC. Posterior cruciate ligament injuries
in trauma patients. Arthroscopy: The Journal of
Arthroscopic & Related Surgery. 1993;9(3):291-4.
7. Fanelli GC. Posterior cruciate ligament rehabilitation:
how slow should we go? Arthroscopy: The Journal of
Arthroscopic & Related Surgery. 2008;24(2):234-5.
8. Lopez-Vidriero E, Simon DA, Johnson DH. Initial
evaluation of posterior cruciate ligament injuries:
history, physical examination, imaging studies, surgical
and nonsurgical indications. Sports medicine and
arthroscopy review. 2010;18(4):230-7.
9. Kakarlapudi TK, Bickerstaff DR. Topic in Review: Knee
instability: isolated and complex. Western Journal of
Medicine. 2001;174(4):266.
10. Yang C-K, Wu C-D, Chih C-J, Wei K-Y, Su C-C, Tsuang
Y-H. Surgical treatment of avulsion fracture of the
posterior cruciate ligament and postoperative
management. Journal of Trauma and Acute Care
Surgery. 2003;54(3):516-9.
11. Espejo-Baena A, López-Arévalo R, Urbano V, Montañez
E, Martí􀆴n F. Arthroscopic repair of the posterior cruciate
ligament: Two techniques. Arthroscopy: The Journal of
Arthroscopic & Related Surgery. 2000;16(6):656-60.
12. Shino K, Nakata K, Mae T, Yamada Y, Shiozaki Y, Toritsuka
Y. Arthroscopic fixation of tibial bony avulsion of the
posterior cruciate ligament. Arthroscopy: The Journal of
Arthroscopic & Related Surgery. 2003;19(2):1-5.
13. Veselko M, Saciri V. Posterior approach for arthroscopic
reduction and antegrade fixation of avulsion fracture
of the posterior cruciate ligament from the tibia
with cannulated screw and washer. Arthroscopy:
The Journal of Arthroscopic & Related Surgery.
2003;19(8):916-21.
The Archives of Bone and Joint Surgery
Volume 4, Issue 4
October 2016
Pages 393-395

Files

History

  • Receive Date: 15 June 2016
  • Revise Date: 07 September 2016
  • Accept Date: 10 September 2016

Share

How to cite

Statistics