Choi N H, Kim S J
Department of Orthopaedic Surgery, Eulji Medical Center, Seoul, Korea.
Arthroscopy. 1997 Dec;13(6):759-62. doi: 10.1016/s0749-8063(97)90015-3.
Bony avulsion fractures of the posterior cruciate ligament of the tibia have commonly been treated by open reduction and internal fixation using the posterior approach. However, this approach, using the prone position, makes it difficult to investigate and treat other combined injuries of the knee joint. We report a case of posterior cruciate ligament avulsion of the tibia that was arthroscopically reduced and firmly fixed with two cannulated screws. The posterior sag was absent after the operation and the result was excellent. By arthroscopy, we got rigid fixation of the avulsed fragment for early rehabilitation, and detection of a concomitant injury was also possible.
胫骨后交叉韧带的骨性撕脱骨折通常采用后入路切开复位内固定治疗。然而，这种采用俯卧位的方法使得检查和治疗膝关节的其他合并损伤变得困难。我们报告一例胫骨后交叉韧带撕脱伤病例，通过关节镜下复位并用两枚空心螺钉牢固固定。术后后移消失，效果极佳。通过关节镜，我们对撕脱骨折块进行了坚强固定以便早期康复，同时也能够检测到合并损伤。
