Arthroscopic Treatment of Acute Tibial Avulsion Fracture of the Posterior Cruciate Ligament Using the TightRope Fixation Device

Gwinner, Clemens; Kopf, Sebastian; Hoburg, Arnd; Haas, Norbert; Jung, Tobias

doi:10.1016/j.eats.2014.02.005

Cited by 31 publications

(41 citation statements)

References 23 publications

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“…Furthermore, some authors reported that arthroscopic fixation using suspensory device needs a sizeable drill hole that may break thinner bone fragments. 9) Open reduction can be performed with a traditional S-shaped approach, but this incision is associated with injury to adjacent neurovascular structures. In contrast, we used a less invasive posteromedial approach, which had several advantages, including exposure of the posterior capsule through the gap between the medial head of the gastrocnemius and the semitendinosus muscle.…”

Section: Discussionmentioning

confidence: 99%

Suture Bridge Fixation Technique for Posterior Cruciate Ligament Avulsion Fracture

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Suture Bridge Fixation Technique for Posterior Cruciate Ligament Avulsion Fracture

et al. 2015

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“…Various open or arthroscopic techniques have been described in the literature regarding fixation of PCL avulsion injuries by using lag screws, steel wires, absorbable screws, suture bridge, suture anchors and tightrope, but no one technique has been considered a gold standard. 8,9 In this study we are present our experience with fixation using ABS button (Arthrex) and tightrope. It has a wide surface area to achieve compression at fracture site.…”

Section: Figure 2: Classification Of Avulsion Fractures Of Pclmentioning

confidence: 99%

Arthroscopic reattachment of tibial avulsion fractures of the posterior cruciate ligament using ABS button and tightrope (Mohandas Jagsun technique)

et al. 2018

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Background: Avulsion fractures of tibial insertion of the posterior cruciate ligament are rare among the knee injuries. Purpose of this study is to determine the functional outcome of arthroscopic reattachment of tibial avulsion of the Posterior cruciate ligament by ABS button (Arthrex) and tight rope.Methods: 15 Patients with PCL avulsion fracture were included. The Inclusion criteria were: 1) Displaced avulsion fractures (type-2 and type-3). They were followed at regular intervals using IKDC score, Lysholm score and subjective questionnaire.Results: All cases showed complete osseous union during follow up. All knees are stable on examination by posterior sag sign and posterior drawer test. Two patients had loss of about 100 flexion. According to the IKDC form assessment 13 patients classified as normal and 2 were classified as near normal.Conclusions: Arthroscopic reattachment of tibial avulsion fractures of the posterior cruciate ligament using ABS button and tightrope gives fairly good clinical outcomes.

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“…Sasaki et al, concluded that the technique of arthroscopic PCL tibial avulsion fixation is as promising as open screw fixation; however, it needs more surgical experience and maintains long learning curve (4). for hardware removal (5). However, with respect to mushrooming trend of arthroscopic surgeries, some ethical issues raise.…”

Section: Learning Curve Of Arthroscopic Pcl Avulsion Fixation Surgerymentioning

confidence: 99%

Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research

Omrani¹,

Kazemian²,

Rasi³

et al. 2017

J Orthop Spine Trauma

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There are controversial disputes regarding the ethical concerns for arthroscopic posterior cruciate ligament (PCL) avulsion fixation accompanied by various complications and difficulties. Firstly, this procedure maintains long learning curve, and it is still in a cast of dilemma if this procedure is justified, when a surgeon should undergo a considerable time and efforts in order to acquire enough experience regarding this novel procedure. Secondly, when stable fixation is not achieved, one may need to shift to open surgery; the issue arises when surgeon terminates the surgery just with somewhat fixation because he does not want to demonstrate any sign of weakness regarding his surgical skills. And finally, there are specific considerations that should be taken into account in the informed consent for an innovative surgery. Here the study discusses these terms in the faiths of fashioning a catalyst for further discussions.

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Arthroscopic Treatment of Acute Tibial Avulsion Fracture of the Posterior Cruciate Ligament Using the TightRope Fixation Device

Cited by 31 publications

References 23 publications

Suture Bridge Fixation Technique for Posterior Cruciate Ligament Avulsion Fracture

Suture Bridge Fixation Technique for Posterior Cruciate Ligament Avulsion Fracture

Arthroscopic reattachment of tibial avulsion fractures of the posterior cruciate ligament using ABS button and tightrope (Mohandas Jagsun technique)

Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research

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