[Knee_Case_#02] pullout fixation for avulsion fractures of the PCL from the tibia

Treatment of avulsion fractures of the PCL depends on the degree of avulsion fracture displacement. Conservative therapy is generally performed if the degree of avulsion fracture displacement is mild, whereas surgery is performed in patients with significant displacement and posterior tibial instability.

 

In the past, internal fixation was highly invasive, requiring a marked opening of the back of the knee. This method is highly invasive with a risk of neurovascular damage. Moreover, the fixation material was challenging to remove.

 

The ability of arthroscopic surgery to treat avulsion fractures of the PCL can lead to the simultaneous treatment of accompanying intraarticular lesions using a minimally invasive procedure while reducing the risk of damage to soft tissue and neurovascular bundles in the back of the knee.

 

Arthroscopic surgery using a pullout procedure requires an accurate examination and visualization of the fragment and bone bed as well as pulling out of the fixation wire/thread from the posterior to the anterior side of the fragment.

This surgical procedure was convenient and less invasive than previous methods, requiring no special surgical instruments.

 

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#rootrepair, #meniscalrepair,