Wu Shengkun, Zhang Ruoxi, Zheng Yi, Long Yubin, Li YuSheng, Men Xiaoqian, Dong Jiangtao
Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
The First Central Hospital of Baoding, Baoding, Hebei, China.
Arthrosc Tech. 2025 Apr 28;14(7):103558. doi: 10.1016/j.eats.2025.103558. eCollection 2025 Jul.
Arthroscopy has gradually become the routine method to treat posterior cruciate ligament tibial insertion avulsion. However, arthroscopic surgery possesses the advantages of being minimally invasive, having a good appearance, and having no need for revision surgery for internal fixation. Compared with open surgery, it is limited by disadvantages such as unstable fixation, unsatisfactory reduction, and fracture fragment displacement. After comparing the various methods proposed in the literature, the "suture bridge" technique, which is commonly used for rotator cuff treatment, is used for repair of posterior cruciate ligament tibial insertion avulsion in combination with the double posterior medial arthroscopic portals, is applied by our team. This surgical technique enables the even distribution of sutures above the fracture fragment, reduces the possibility of suture displacement, and enables excellent reduction under arthroscopy while fully preserving the posterior septum.
关节镜检查已逐渐成为治疗后交叉韧带胫骨止点撕脱的常规方法。然而，关节镜手术具有微创、外观良好、无需内固定翻修手术等优点。与开放手术相比，它存在固定不稳定、复位不满意和骨折块移位等缺点。在比较文献中提出的各种方法后，我们团队采用常用于肩袖治疗的“缝线桥”技术，结合双后内侧关节镜入路，用于修复后交叉韧带胫骨止点撕脱。这种手术技术能使缝线在骨折块上方均匀分布，减少缝线移位的可能性，并在关节镜下实现良好复位，同时充分保留后间隔。
