Kim S J, Shin S J, Cho S K, Kim H K
Department of Orthopaedic Surgery, Arthroscopic Surgery Unit, Yonsei University College of Medicine, Seoul, Korea.
Arthroscopy. 2001 Sep;17(7):776-80. doi: 10.1053/jars.2001.22392.
We describe a new arthroscopic technique for suture fixation of a posterior cruciate ligament (PCL) avulsion fracture from the tibia. This technique is indicated when the size of the avulsed fragment is small and fixation with a screw or pins is inadequate. Three portals are used: a parapatellar anteromedial portal, a high posteromedial portal, and a posterolateral portal. Using a PCL tibial guide, 2 bone tunnels are made from the anterior cortex of the tibia to the medial and lateral border of the avulsed site. One or 2 strands of 23-gauge wire or multiple nonabsorbable sutures are used for fixation through the tunnels. If the bony fragment is small or comminuted, fixation with wires or sutures leads to rigid fixation and early rehabilitation.
我们描述了一种用于胫骨后交叉韧带（PCL）撕脱骨折缝线固定的新型关节镜技术。当撕脱骨块尺寸较小且使用螺钉或钢针固定不充分时，可采用该技术。使用三个入路：髌旁前内侧入路、高位后内侧入路和后外侧入路。通过PCL胫骨导向器，从胫骨前皮质向撕脱部位的内侧和外侧边缘制作2个骨隧道。使用1或2股23号钢丝或多根不可吸收缝线通过隧道进行固定。如果骨块较小或粉碎，采用钢丝或缝线固定可实现牢固固定并利于早期康复。
