[Fixation of bony avulsions of the posterior cruciate ligament by a  suture-bridge™ technique].

[Fixation of bony avulsions of the posterior cruciate ligament by a suture-bridge™ technique].
Oper Orthop Traumatol. 2018 Dec 18;:
Authors: Willinger L, Imhoff AB, Schmitt A, Forkel P
Abstract
OBJECTIVE: Anatomical reduction of bony avulsions of the posterior cruciate ligament (PCL) by a suture-bridge™ (Arthrex, Naples, FL, USA) technique to restore posterior knee stability.
INDICATIONS: Acute bony tibial avulsions of the PCL and multifragmentary fractures.
CONTRAINDICATIONS: Chronic condition of avulsion fractures or posterior instability, advanced knee osteoarthritis, high-grade soft tissue injury, infection.
SURGICAL TECHNIQUE: Prone position, minimally invasive posterior medial approach, exposure and reduction of the bony fragment, positioning of the proximal suture-anchor (interfragment), suturing the PCL and knotting to achieve repositioning of the anterior part of the fragment, tighten both ends of the tape by two suture anchors distally to the PCL insertion to fix the posterior part of the fragment.
POSTOPERATIVE MANAGEMENT: Knee extension brace with posterior tibial support for 6 weeks, 20 kg partial weight-bearing and restricted flexion up to 90° for 6 weeks, physiotherapy in prone position from the first postoperative day. Full weight bearing after x‑ray and clinical control after 6 weeks.
RESULTS: Since 2016, 6 cases of a bony avulsion of the PCL treated with this t...

Source: Operative Orthopadie und Traumatologie - December 18, 2018 Category: Orthopaedics Authors: Willinger L, Imhoff AB, Schmitt A, Forkel P Tags: Oper Orthop Traumatol Source Type: research