文献类型：期刊文献

英文题名：Arthroscopic M-shaped suture fixation for tibia avulsion fracture of posterior cruciate ligament: A modified technique and case series

作者：Zhang, Xiao-Hui[1,2];Yu, Jian[1,2];Zhao, Meng-Yao[1,2];Cao, Jin-Hui[1,2];Wu, Bing[1,2,3];Xu, Dan-Feng[1,2,3]

机构：[1]Shaoxing Cent Hosp, Dept Orthopaed Surg, 1 Hua yu Rd, Shaoxing 312000, Zhejiang, Peoples R China;[2]Shaoxing Univ, Cent Hosp, Dept Orthopaed Surg, Shaoxing 312000, Zhejiang, Peoples R China;[3]Shaoxing Cent Hosp, Cent Lab, Shaoxing 312000, Zhejiang, Peoples R China

年份：2024

卷号：15

期号：7

起止页码：642

外文期刊名：WORLD JOURNAL OF ORTHOPEDICS

收录：ESCI(收录号：WOS:001280368900003)、Scopus(收录号：2-s2.0-85199146939)、WOS

基金：DAS:No additional data are available.

语种：英文

外文关键词：Posterior cruciate ligament; Avulsion fracture; Arthroscopic; Case series; Suture fixation

外文摘要：BACKGROUND Tibial avulsion fractures of the posterior cruciate ligament (PCL) are challenging to treat and compromise knee stability and function. Traditional open surgery often requires extensive soft tissue dissection, which may increase the risk of morbidity. In response to these concerns, arthroscopic techniques have been evolving. The aim of this study was to introduce a modified arthroscopic technique utilizing an M-shaped suture fixation method for the treatment of tibial avulsion fractures of the PCL and to evaluate its outcomes through a case series. AIM To evaluate the effects of arthroscopic M-shaped suture fixation on treating tibia avulsion fractures of the PCL. METHODS We developed a modified arthroscopic M-shaped suture fixation technique for tibia avulsion fractures of the PCL. This case series included 18 patients who underwent the procedure between January 2021 and December 2022. The patients were assessed for range of motion (ROM), Lysholm score and International knee documentation committee (IKDC) score. Postoperative complications were also recorded. RESULTS The patients were followed for a mean of 13.83 +/- 2.33 months. All patients showed radiographic union. At the final follow-up, all patients had full ROM and a negative posterior drawer test. The mean Lysholm score significantly improved from 45.28 +/- 8.92 preoperatively to 91.83 +/- 4.18 at the final follow-up (P < 0.001), and the mean IKDC score improved from 41.98 +/- 6.06 preoperatively to 90.89 +/- 5.32 at the final follow-up (P < 0.001). CONCLUSION The modified arthroscopic M-shaped suture fixation technique is a reliable and effective treatment for tibia avulsion fractures of the PCL, with excellent fracture healing and functional recovery.