Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.

Introduction: Surgical fixation is required for displaced posterior cruciate ligament (PCL) tibial bony avulsion fractures or with fractures having grade 2 or more posterior instability. The purpose of this study is to evaluate the results of arthroscopic fixation of PCL tibial bony avulsion fractu...

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Main Authors: Mihir Patel, Mahesh Shinde, Ushma Butala, Lakshya Bhardwaj, Amit Yadav, Karthik Gowda, Saif Ansari, Atharva Sharma
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-10-01
Series:Journal of Orthopedic and Spine Trauma
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Online Access:https://jost.tums.ac.ir/index.php/jost/article/view/531
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author Mihir Patel
Mahesh Shinde
Ushma Butala
Lakshya Bhardwaj
Amit Yadav
Karthik Gowda
Saif Ansari
Atharva Sharma
author_facet Mihir Patel
Mahesh Shinde
Ushma Butala
Lakshya Bhardwaj
Amit Yadav
Karthik Gowda
Saif Ansari
Atharva Sharma
author_sort Mihir Patel
collection DOAJ
description Introduction: Surgical fixation is required for displaced posterior cruciate ligament (PCL) tibial bony avulsion fractures or with fractures having grade 2 or more posterior instability. The purpose of this study is to evaluate the results of arthroscopic fixation of PCL tibial bony avulsion fractures using the double suture bridge technique. Materials and methods: A retrospective study was done involving 24 patients having displaced PCL tibial bony avulsion fractures. The arthroscopic double suture bridge technique was used to fix these fractures. Patients were followed up for a period of 3 year and assessed for knee related symptoms, signs, Lysholm knee score and satisfaction. Results: The study group consisted of 21 males and 3 females. Fracture union was achieved in all cases by 2 months post operative. The mean Lysholm knee score at follow up of 3 months, 6 months, 1 year, 2 years and 3 years was 86.6, 96.5, 98.8, 99.1 and 99.4 respectively.  At latest follow up all the patients were satisfied with their knee function with respect to pain, range of motion, stability and resumption of pre injury activity level. Conclusion: The arthroscopic double suture bridge technique is an effective method for fixation of PCL tibial bony avulsion fractures with respect to knee stability, range of motion and resumption of pre injury activity level.
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publishDate 2024-10-01
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spelling doaj-art-47e870bde8e044709c32a915e4f398652025-08-20T02:14:02ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002024-10-0110310.18502/jost.v10i3.16783Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.Mihir Patel0Mahesh Shinde1Ushma Butala2Lakshya Bhardwaj3Amit Yadav4Karthik Gowda5Saif Ansari6Atharva Sharma7Assistant professorSenior residentAssociate professorSenior residentAssistant professorJUNIOR RESIDENTSenior residentJUNIOR RESIDENT Introduction: Surgical fixation is required for displaced posterior cruciate ligament (PCL) tibial bony avulsion fractures or with fractures having grade 2 or more posterior instability. The purpose of this study is to evaluate the results of arthroscopic fixation of PCL tibial bony avulsion fractures using the double suture bridge technique. Materials and methods: A retrospective study was done involving 24 patients having displaced PCL tibial bony avulsion fractures. The arthroscopic double suture bridge technique was used to fix these fractures. Patients were followed up for a period of 3 year and assessed for knee related symptoms, signs, Lysholm knee score and satisfaction. Results: The study group consisted of 21 males and 3 females. Fracture union was achieved in all cases by 2 months post operative. The mean Lysholm knee score at follow up of 3 months, 6 months, 1 year, 2 years and 3 years was 86.6, 96.5, 98.8, 99.1 and 99.4 respectively.  At latest follow up all the patients were satisfied with their knee function with respect to pain, range of motion, stability and resumption of pre injury activity level. Conclusion: The arthroscopic double suture bridge technique is an effective method for fixation of PCL tibial bony avulsion fractures with respect to knee stability, range of motion and resumption of pre injury activity level. https://jost.tums.ac.ir/index.php/jost/article/view/531kneearthroscopyarthroscopic fixationdouble suture bridgePCL tibial bony avulsion fractureLysholm knee score
spellingShingle Mihir Patel
Mahesh Shinde
Ushma Butala
Lakshya Bhardwaj
Amit Yadav
Karthik Gowda
Saif Ansari
Atharva Sharma
Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.
Journal of Orthopedic and Spine Trauma
knee
arthroscopy
arthroscopic fixation
double suture bridge
PCL tibial bony avulsion fracture
Lysholm knee score
title Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.
title_full Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.
title_fullStr Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.
title_full_unstemmed Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.
title_short Arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures – The double suture bridge technique and evaluation of results.
title_sort arthroscopic fixation of posterior cruciate ligament tibial bony avulsion fractures the double suture bridge technique and evaluation of results
topic knee
arthroscopy
arthroscopic fixation
double suture bridge
PCL tibial bony avulsion fracture
Lysholm knee score
url https://jost.tums.ac.ir/index.php/jost/article/view/531
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AT maheshshinde arthroscopicfixationofposteriorcruciateligamenttibialbonyavulsionfracturesthedoublesuturebridgetechniqueandevaluationofresults
AT ushmabutala arthroscopicfixationofposteriorcruciateligamenttibialbonyavulsionfracturesthedoublesuturebridgetechniqueandevaluationofresults
AT lakshyabhardwaj arthroscopicfixationofposteriorcruciateligamenttibialbonyavulsionfracturesthedoublesuturebridgetechniqueandevaluationofresults
AT amityadav arthroscopicfixationofposteriorcruciateligamenttibialbonyavulsionfracturesthedoublesuturebridgetechniqueandevaluationofresults
AT karthikgowda arthroscopicfixationofposteriorcruciateligamenttibialbonyavulsionfracturesthedoublesuturebridgetechniqueandevaluationofresults
AT saifansari arthroscopicfixationofposteriorcruciateligamenttibialbonyavulsionfracturesthedoublesuturebridgetechniqueandevaluationofresults
AT atharvasharma arthroscopicfixationofposteriorcruciateligamenttibialbonyavulsionfracturesthedoublesuturebridgetechniqueandevaluationofresults