Arthroscopic repair of the posterior cruciate ligament: Two techniques

Arthroscopic surgery in the posterior compartment of the knee: Suture fixation of anterior and posterior cruciate ligament avulsions

“…Tension band fixation has been adapted, but working with wires is very tedious inside the knee joint. 21 Previous works have reported excellent results with these methods. All the previous techniques use metallic implants, which generally require staged removal and, more importantly, require drilling of significant sized bone tunnels.…”

“…[21][22][23] Unfortunately, the bony components in avulsion injuries are very small and cancellous in nature and, thus, the purchase of the screws or wires is unreliable. Tension band fixation has been adapted, but working with wires is very tedious inside the knee joint.…”

Arthroscopic Primary Repair of Posterior Cruciate Ligament Injuries

“…Additionally, several case reports and small case series have been published on primary PCL repair. 31,33,[51][52][53][54][55]63 In this surgical technique article we do not further assess these studies.…”

“…3,8 Several authors also reported on arthroscopic primary repairs of these bony avulsions [28][29][30] or peeloff avulsions. [31][32][33] The main benefits of primary repair are achieving better proprioception 34,35 and earlier rehabilitation that prevents development of stiffness. 36 The benefits of the arthroscopic method of repair is to decrease surgical morbidity and prevent neurovascular damage, wound healing problems, and arthrofibrosis.…”

Editorial Commentary: Should We Repair Posterior Cruciate Ligament Tibial Avulsion Fractures by Opening the Hood or Through the Tailpipe?

“…To my knowledge, this is the first series that has compared significant numbers of patients treated by open and arthroscopic methods by the same group of surgeons. [3][4][5][6] However, this was not a randomized study, as it was clearly a conscious decision on the part of the surgeons to switch from an open procedure in the early series to an arthroscopic procedure in the later cases. This does introduce potential surgeon bias, as at the time they abandoned the open procedures, they clearly felt that there would be advantages to an arthroscopic procedure.…”