title: Arthroscopic repair of "peel-off" lesion of the posterior cruciate ligament at the femoral condyle.
abstract: Posterior cruciate ligament (PCL) injuries are uncommon, and most occur in association with other lesions. The treatment of PCL injuries remains controversial; in addition, PCL injuries have been documented to have a propensity to heal. In the literature several different patterns of PCL injury have been described including midsubstance tears/injuries, tibial bony avulsions, femoral bony avulsions, and femoral "peel-off" injuries. A peel-off injury is a complete or incomplete soft-tissue disruption of the PCL at its femoral attachment site without associated bony avulsion. In recent years arthroscopic repair of femoral avulsion and peel-off lesions of the PCL has been reported. In most of these articles, a transosseous repair with sutures passed through 2 bone tunnels into the medial femoral condyle has been described. We present a case of a femoral PCL avulsion in a 20-year-old collegiate football player with an associated medial collateral ligament injury, and we report about a novel technique for PCL repair using 2 No. 2 FiberWire sutures and two 2.9-mm PushLock anchors (Arthrex) to secure tensioning the ligament at its footprint.
authors.affiliation: University of Study of Turin, Turin, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Rosso
authors.affiliation: University of Rome "Tor Vergata", Rome, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Bisicchia
authors.affiliation: Department of Orthopaedic Surgery, University of Iowa Health Care, Iowa City, Iowa, U.S.A ; University of Iowa Sports Medicine, University of Iowa Health Care, Iowa City, Iowa, U.S.A.
authors.forename: Annunziato
authors.initials: A
authors.lastname: Amendola
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