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

Abstract

Anterior and posterior cruciate ligament avulsion injuries in the posterior compartment of the knee are most commonly dealt with using open approaches. We report an arthroscopic method of treatment using sutures, without the need of any metal implants, that can be safely used in patients with open physes and without the need of a 70°arthroscope.

Delayed recurrent hemarthrosis after staple fixation of tibial avulsion fracture of the posterior cruciate ligament: a case report

“…Various devices including staples, screws, K-wires, pull-out sutures, cannulated screws have been used to fix the avulsion fragment of the PCL and each device has advantages and disadvantages [2,4,7,9,12]. Screw fixation provides more strength and involves less risk for the complication of pull-out but has more risk of splitting the fragment [2,7].…”

“…Screw fixation provides more strength and involves less risk for the complication of pull-out but has more risk of splitting the fragment [2,7]. Suture fixation may be appropriate for a small fragment, but its surgical procedure is technically demanding [4,12]. Staple fixation is easy to apply and has less risk of split of the fragment [10].…”

Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures: the suture “bridge” pull out technique and evaluation of results

“…7 Yip et al have mentioned that the bony components in avulsion injuries are very small and cancellous and thus the purchase of screws or wires is unreliable. 9 There is risk of screws backing out into the joint, posterior neurovascular injury, extension block by the screw head or washer during the postoperative period and need for hardware removal after 8 to 10 weeks. 4,8 Use of single or multiple staples have the same disadvantage as that of screws and they are placed in the fractured bone bed which has poor hold for implants.…”