Avtor/Urednik     Veselko, Matjaž; Saciri, Valdet
Naslov     Posterior approach for arthroscopic reduction and antegrade fixation of avulsion fracture of the posterior cruciate ligament from the tibia with cannulated screw and washer
Tip     članek
Vir     Arthroscopy
Vol. in št.     Letnik 19, št. 8
Leto izdaje     2003
Obseg     str. 916-21
Jezik     eng
Abstrakt     Avulsion fracture of the posterior cruciate ligament (PCL) is a rare condition, and arthroscopically assisted reattachment of the surgical fixation of the fragment is not always an easy task. Only a few reports describe techniques for arthroscopic fixation of avulsion of the PCL.We report on a case treated arthroscopically with reduction and antegrade fixation of an avulsion fracture of the tibial attachment of the PCL with a cannulated screw and washer through an additional posterolateral portal. Postoperative morbidity was reduced, and rehabilitation was accelerated. Fixation with a cannulated screw and washer is technically simple and allows for stable fixation and immediate postoperative mobilization and pain-limited weight-bearing, even in cases of a comminuted fragment. The safe zone for an additional posterolateral portal and the technique for placing instruments and a guidewire to avoid neurovascular structures is defined.
Deskriptorji     KNEE INJURIES
POSTERIOR CRUCIATE LIGAMENT
RUPTURE
ARTHROSCOPY
MIDDLE AGE
AGED
TIBIA
BONE SCREWS
TREATMENT OUTCOME