Tang Jin, Zhao Jinzhong
Operating Theater, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Arthrosc Tech. 2021 May 24;10(6):e1595-e1602. doi: 10.1016/j.eats.2021.02.029. eCollection 2021 Jun.
Avulsion fracture of the tibial insertion of the posterior cruciate ligament (PCL) receives constant concern. Arthroscopic procedures have long been attempted because of their minimally invasive nature, and various related techniques have been reported. However, the best arthroscopic method is still being pursued. In this article, we introduce an arthroscopic suture ligation and backup adjustable-loop fixation technique for PCL tibial avulsion fracture. The critical points of this technique are proper ligation of the PCL, proper location of the 2 tibial tunnels to create pulleys for posterior-inferior reduction of the bone fragment, and additional backup suture loop fixation. Our experience indicates that this technique is efficient and relatively simple. We consider that the introduction of this technique will provide a reasonable choice in the treatment of PCL tibial avulsion fracture.
后交叉韧带（PCL）胫骨附着处的撕脱骨折一直备受关注。由于关节镜手术具有微创性，长期以来人们一直在尝试进行此类手术，并且已经报道了各种相关技术。然而，最佳的关节镜手术方法仍在探索中。在本文中，我们介绍一种用于PCL胫骨撕脱骨折的关节镜下缝线结扎及备用可调环固定技术。该技术的关键点在于PCL的恰当结扎、用于为骨块后下方复位创建滑轮的2个胫骨隧道的正确定位，以及额外的备用缝线环固定。我们的经验表明，该技术有效且相对简单。我们认为，这项技术的引入将为PCL胫骨撕脱骨折的治疗提供一种合理的选择。
