Arthroscopic reattachment of an avulsion fracture of the tibial insertion of the posterior cruciate ligament.

نویسندگان

  • D J Deehan
  • L A Pinczewski
چکیده

We describe an arthroscopic technique for the treatment of isolated avulsion fracture of the tibial insertion of the posterior cruciate ligament. Arthroscopic examination of the injured joint permits visualization of the intra-articular structures and lavage of the joint. Such an approach reduces the risk of injury to the posterior neurovascular complex. K-wire fixation affords anatomic and rigid internal fixation while minimizing the potential for further damage to the osseous fragment.

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منابع مشابه

[Treatment of tibial avulsion fractures of the posterior cruciate ligament].

BACKGROUND The posterior cruciate ligament (PCL) avulsion fracture from its tibial insertion is a rare condition. Despite the further technical advent in refixation of avulsion fractures, the reported failure rate of current approaches remains high and the optimal surgical technique has not been elucidated yet. The purpose of the current study is to present an all-inside arthroscopic reconstruc...

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Posterior cruciate ligament mediated avulsion fracture of the lateral tibial condyle: a case report

Avulsion fractures of the posterior cruciate ligament (PCL) are uncommon. On the basis of the site of damage of the PCL, hyperflexion, pretibial trauma, and hyperextension are proposed as mechanisms of PCL injuries. On the other hand, avulsion fractures of the tibial condyle are also rare. We report a PCL-mediated avulsion fracture of the lateral tibial condyle along with the tibial insertion o...

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Arthroscopic Pullout Fixation for a Small and Comminuted Avulsion Fracture of the Posterior Cruciate Ligament from the Tibia

We describe a patient who underwent arthroscopic pullout fixation for a posterior cruciate ligament (PCL) avulsion fracture. A 46-year-old female, injured in a fall while riding a motorcycle, was diagnosed with a right knee PCL tibial attachment avulsion fracture and underwent arthroscopic osteosynthesis. A Kirschner wire was drilled to a point just medial to the medial border of the anterior t...

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Avulsion Fracture of the Medial Tibial Plateau (reverse Segond Injury) Fabio Janson Angelini1, Eduardo Angeli Malavolta2, Caio Oliveira D ́elia3, José Ricardo Pécora4, Arnaldo Hernandez5, Gilberto

INTRODUCTION The Segond injury corresponds to a marginal avulsion fracture of lateral tibial plateau, resultant from flexion traumas, stress in varus and internal rotation. The structure responsible for avulsion is the lateral collateral ligament, and anterior cruciate ligament and lateral meniscal injuries are also frequently present(1-4). Hall and Hochman(5) provided the first report of an in...

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Anterior arthroscopic-assisted fixation of posterior cruciate ligament avulsion fractures

BACKGROUND Avulsion fractures of the tibial insertion of the posterior cruciate ligament (PCL) have always been regarded as rare injuries. The tibial attachment of the PCL is located in an area, which is difficult to access. HYPOTHESIS To verify the effects of anterior arthroscopic fixation of PCL avulsion fractures. METHODS 18 patients with PCL avulsion fracture were included. The inclusio...

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عنوان ژورنال:
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

دوره 17 4  شماره 

صفحات  -

تاریخ انتشار 2001