X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior Septum

Posterior cruciate ligament (PCL) avulsion fractures at the tibial attachment site are managed using various techniques. Some surgeries involve internal fixation with an adjustable double-loop plate, anterior-to-posterior suture suspension fixation, hollow lag screw fixation, and steel wire fixation...

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Main Authors: Ziqi Shang, B.S., Lingpeng Jin, M.S., Zhen Chen, B.S., Zhuangdai Zhang, M.S., Yingzhen Niu, M.D., Yi Zheng, M.S., Jiangtao Dong, M.D.
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628723002724
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author Ziqi Shang, B.S.
Lingpeng Jin, M.S.
Zhen Chen, B.S.
Zhuangdai Zhang, M.S.
Yingzhen Niu, M.D.
Yi Zheng, M.S.
Jiangtao Dong, M.D.
author_facet Ziqi Shang, B.S.
Lingpeng Jin, M.S.
Zhen Chen, B.S.
Zhuangdai Zhang, M.S.
Yingzhen Niu, M.D.
Yi Zheng, M.S.
Jiangtao Dong, M.D.
author_sort Ziqi Shang, B.S.
collection DOAJ
description Posterior cruciate ligament (PCL) avulsion fractures at the tibial attachment site are managed using various techniques. Some surgeries involve internal fixation with an adjustable double-loop plate, anterior-to-posterior suture suspension fixation, hollow lag screw fixation, and steel wire fixation. In this case, an X-shaped knot and double posteromedial portals are used to retain the posterior septum for fixation. In this technique, we describe double posteromedial portals are used in this method. The internal joint is fixed with an X-shaped knot, and the external joint is fixed with SwiveLock, which puts the wire belt binding PCL compression bone block in a perfect tension state. This surgical technique can achieve a sound functional reduction.
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spelling doaj.art-9404b0598b61469e8ddd648225ac242e2024-01-24T05:20:39ZengElsevierArthroscopy Techniques2212-62872024-01-01131102814X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior SeptumZiqi Shang, B.S.0Lingpeng Jin, M.S.1Zhen Chen, B.S.2Zhuangdai Zhang, M.S.3Yingzhen Niu, M.D.4Yi Zheng, M.S.5Jiangtao Dong, M.D.6Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaAddress correspondence to Jiangtao Dong, M.D., Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051 Hebei, China.; Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, ChinaPosterior cruciate ligament (PCL) avulsion fractures at the tibial attachment site are managed using various techniques. Some surgeries involve internal fixation with an adjustable double-loop plate, anterior-to-posterior suture suspension fixation, hollow lag screw fixation, and steel wire fixation. In this case, an X-shaped knot and double posteromedial portals are used to retain the posterior septum for fixation. In this technique, we describe double posteromedial portals are used in this method. The internal joint is fixed with an X-shaped knot, and the external joint is fixed with SwiveLock, which puts the wire belt binding PCL compression bone block in a perfect tension state. This surgical technique can achieve a sound functional reduction.http://www.sciencedirect.com/science/article/pii/S2212628723002724
spellingShingle Ziqi Shang, B.S.
Lingpeng Jin, M.S.
Zhen Chen, B.S.
Zhuangdai Zhang, M.S.
Yingzhen Niu, M.D.
Yi Zheng, M.S.
Jiangtao Dong, M.D.
X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior Septum
Arthroscopy Techniques
title X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior Septum
title_full X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior Septum
title_fullStr X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior Septum
title_full_unstemmed X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior Septum
title_short X-Shaped Knot Fixation and Double Posteromedial Portals for the Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures With Retention of the Posterior Septum
title_sort x shaped knot fixation and double posteromedial portals for the treatment of posterior cruciate ligament tibial avulsion fractures with retention of the posterior septum
url http://www.sciencedirect.com/science/article/pii/S2212628723002724
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