Arthroscopic suture fixation for bony avulsion of the posterior cruciate ligament

Sung Jae Kim, Sang Jin Shin, Shin Kang Cho, Hyun Kon Kim

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

We describe a new arthroscopic technique for suture fixation of a posterior cruciate ligament (PCL) avulsion fracture from the tibia. This technique is indicated when the size of the avulsed fragment is small and fixation with a screw or pins is inadequate. Three portals are used: a parapatellar anteromedial portal, a high posteromedial portal, and a posterolateral portal. Using a PCL tibial guide, 2 bone tunnels are made from the anterior cortex of the tibia to the medial and lateral border of the avulsed site. One or 2 strands of 23-gauge wire or multiple nonabsorbable sutures are used for fixation through the tunnels. If the bony fragment is small or comminuted, fixation with wires or sutures leads to rigid fixation and early rehabilitation.

Original languageEnglish
Pages (from-to)776-780
Number of pages5
JournalArthroscopy - Journal of Arthroscopic and Related Surgery
Volume17
Issue number7
DOIs
StatePublished - Sep 2001

Keywords

  • Arthroscopy
  • Avulsion fracture
  • Posterior cruciate ligament

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