Arthroscopic treatment of tibial avulsion fracture of posterior cruciate ligament with a knot-free anchor and Endobuton titanium plate.
10.12200/j.issn.1003-0034.2021.12.009
- Author:
Zhi ZHAO
1
;
Yu DENG
1
;
Yu CHEN
1
;
Xin-Wen BAI
1
Author Information
1. Chongqing Orthopaedics Hospital of Traditional Chinese Medicine, Chongqing 400010, China.
- Publication Type:Journal Article
- Keywords:
Arthroscopes;
Knotless anchor;
Posterior cruciate ligament;
Tibial avulsion fracture
- MeSH:
Adult;
Arthroscopy;
Female;
Fractures, Avulsion/surgery*;
Humans;
Knee Joint/surgery*;
Male;
Middle Aged;
Posterior Cruciate Ligament/surgery*;
Suture Techniques;
Tibial Fractures/surgery*;
Titanium;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2021;34(12):1136-1140
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical effect of arthroscopic fixation of tibial avulsion fracture of posterior cruciate ligament with a knot-free anchor and Endobuton titanium plate.
METHODS:From October 2019 to October 2020, 12 patients with tibial avulsion fracture of posterior cruciate ligament were treated with the arthroscopic knot-free anchor and Endobuton titanium plate, including 9 males and 3 females. The age ranged from 23 to 58 years old. The time from injury to operation ranged from 2 to 9 days. There were 2 cases of Meyers typeⅡand 10 cases of Meyers type Ⅲ. There were 2 cases of meniscus injury and 1 case of partial injury of medial collateral ligament. The fracture healing and knee range of motion were evaluated after operation, and the clinicalefficacy was evaluated by Lysholm function score.
RESULTS:All patients were followed up for 12 months. All patients healed within 6 months, and there were no complications such as incision infection, lower extremity deep venous thrombosis and internal fixation falling off. The knee flexion range of motion recovered from 50°-90° before operation to 115°-130° 6 months after operation, and no patient had straightening disorder. Lysholm functional score recovered from preoperative 29-54 scores to 86-100 scores 12 months after operation.
CONCLUSION:Arthroscopic reduction and fixation of tibial avulsion fracture of posterior cruciate ligament with the knot-free anchor and Endobuton titanium plate has less complications, high fracture healing rate, good extension and flexion angle and early function recovery of knee joint.
