Modified Suture Bridge Technique Fixation of Posterior Cruciate Ligament Tibial Avulsion

Faculty Medicine Year: 2020
Type of Publication: ZU Hosted Pages: PP 14-20
Authors:
Journal: ARC Journal of Orthopedics ARC Journal of Orthopedics Volume: Issue 1, 2020,
Keywords : Modified Suture Bridge Technique Fixation , Posterior    
Abstract:
Purpose: The aim of this study is to outline the technique and report the results of using modified suture bridge technique fixation in PCL tibial bony avulsion through Burks and Schaffer’s approach Methods: Starting at november 2016 to december 2018, 33patients (25males and 8females)who had PCL bony tibial avulsion were treated using modified suture bridge method through Burks and Schaffer’s approach by direct cannulated screw fixation followed by indirect fixation using non absorbable suture tied over screw and washer post . The mean followup period was 16 months with the clinical followup (stability by posterior drawer test, functional Lysholm score and possible complications) and radiological union. Results: Clinically assessed in final follow up visit, all patient showed improvement regarding stability by posterior drawer test (normal in 81.8% of cases), Lysholm score ( mean 94) with no complications except one case with superficial infection responded to repeated dressing and antibiotics according to culture and sensitivity with no drawbacks. Radiographic union was achieved in all cases as far as 8 weeks (mean 6.2 weeks). No secondary displacement occurred at any point in the follow-up. Conclusion: Modified suture bridge method through Burks and Schaffer’s approach for PCL bony tibial avulsion is effective, economic, safe, rapid and reliable clinically and radiologically that can be reproduced with no demanding learning curve or equipment as compared to other method
   
     
 
       

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