[All-arthroscopic fixation of tibial posterior cruciate ligament avulsion fractures with a  suture-button technique].

[All-arthroscopic fixation of tibial posterior cruciate ligament avulsion fractures with a suture-button technique]. Oper Orthop Traumatol. 2019 Sep 06;: Authors: Forkel P, Imhoff AB, Achtnich A, Willinger L Abstract OBJECTIVE: To restore the posterior stability of the knee after a tibial posterior cruciate ligament (PCL) avulsion with a suture-button construct. INDICATIONS: Acute solid and monofragment bony avulsion of the tibial PCL insertion. CONTRAINDICATIONS: Chronic condition of avulsion fractures or posterior instability, multifragment avulsions, thin bone pieces, advanced knee osteoarthritis, high-grade soft tissue injury, infection. SURGICAL TECHNIQUE: Supine position, all-arthroscopic treatment via posteromedial and posterolateral portal, arthroscopic visualization and fracture reduction, transtibial drilling with a cannulated 2.4 mm drill, reduction of the fragment via FiberTape™ and Dog Bone. Knotting of the tapes against an additional Dog Bone at the anterior aspect of the tibia. Intraoperative x‑ray. 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 eight tibial PCL avulsions were treated. In 6 pat...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Tags: Oper Orthop Traumatol Source Type: research