title: Treatment of tibia avulsion fracture of posterior cruciate ligament with high-strength suture fixation under arthroscopy.
abstract: OBJECTIVE
  To evaluate the outcome of arthroscopy treatment using high-strength line in the treatment of tibial avulsion fracture of posterior cruciate ligament.
  
  
  METHODS
  Both the avulsed bone block and the tibia bone bed were refreshed. The procedure was completed with the assistance of PCL director drill guide. The reduction and fixation using high-strength line were used to fix the avulsed bone by from posterior middle portal. Rehabilitation began early postoperatively.
  
  
  RESULTS
  From January 2010 to June 2012, a total of 18 arthroscopically treated cases of PCL tibial avulsion fracture were retrospectively evaluated. Reduction of the avulsion fragment was obtained in all cases. 16 cases were followed up for 7-30 months (average 13.6), and 2 cases were out of follow-up. In the 16 followed patients, flexion and extension were back to normal within 6 weeks, and return to normal walk in 12 weeks. The bone healing was good without any vascular or nerve complications. All the patients regained the preinjury activity level. The mean score (and standard deviation) increased from 38.9 ± 4.9 points to 95.2 ± 3.8 points with the system of Lysholm, from 57.1 ± 10.3 points to 94.3 ± 4.4 points with the system of IKDC. Post-test displacement of KT3000 declined from 3.6 ± 0.39 to 1.1 ± 0.27 mm.
  
  
  CONCLUSIONS
  Arthroscopic vertical fixation by high-strength line is a simple, safe, reliable, and micro-invasive treatment to PCL tibial avulsion fracture. It is a kind of real all arthroscopic technique, and good for early postoperative rehabilitation. The total stability of the knee could be gained, and the second operation to remove the internal fixation is avoided.
authors.affiliation: Department of Sports Medicine, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), 518035, Shenzhen, Guangdong, People's Republic of China.|Shenzhen Tissue Engineering Laboratory, 518000, Shenzhen, People's Republic of China.|Shenzhen Sports Medicine Engineering Laboratory, 518000, Shenzhen, People's Republic of China.|Guangzhou Medical University, 510182, Guangzhou, People's Republic of China.
authors.forename: W
authors.initials: W
authors.lastname: Zhu
authors.affiliation: Department of Sports Medicine, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), 518035, Shenzhen, Guangdong, People's Republic of China. 13922855513@139.com.|Shenzhen Tissue Engineering Laboratory, 518000, Shenzhen, People's Republic of China. 13922855513@139.com.|Shenzhen Sports Medicine Engineering Laboratory, 518000, Shenzhen, People's Republic of China. 13922855513@139.com.
authors.forename: W
authors.initials: W
authors.lastname: Lu
authors.affiliation: Shenzhen Tissue Engineering Laboratory, 518000, Shenzhen, People's Republic of China.|Shenzhen Sports Medicine Engineering Laboratory, 518000, Shenzhen, People's Republic of China.|Guangzhou Medical University, 510182, Guangzhou, People's Republic of China.
authors.forename: J
authors.initials: J
authors.lastname: Cui
authors.affiliation: Department of Sports Medicine, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), 518035, Shenzhen, Guangdong, People's Republic of China.
authors.forename: L
authors.initials: L
authors.lastname: Peng
authors.affiliation: Department of Sports Medicine, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), 518035, Shenzhen, Guangdong, People's Republic of China.
authors.forename: Y
authors.initials: Y
authors.lastname: Ou
authors.affiliation: Department of Sports Medicine, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), 518035, Shenzhen, Guangdong, People's Republic of China.
authors.forename: H
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Sports Medicine, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), 518035, Shenzhen, Guangdong, People's Republic of China.
authors.forename: H
authors.initials: H
authors.lastname: Liu
authors.affiliation: Shenzhen Sports Medicine Engineering Laboratory, 518000, Shenzhen, People's Republic of China.|Guangzhou Medical University, 510182, Guangzhou, People's Republic of China.
authors.forename: W
authors.initials: W
authors.lastname: You
authors.affiliation: Department of Sports Medicine, Shenzhen Second People's Hospital (First Affiliated Hospital of Shenzhen University), 518035, Shenzhen, Guangdong, People's Republic of China. szhzwm@126.com.|Shenzhen Tissue Engineering Laboratory, 518000, Shenzhen, People's Republic of China. szhzwm@126.com.|Shenzhen Sports Medicine Engineering Laboratory, 518000, Shenzhen, People's Republic of China. szhzwm@126.com.|Guangzhou Medical University, 510182, Guangzhou, People's Republic of China. szhzwm@126.com.
authors.forename: D
authors.initials: D
authors.lastname: Wang
authors.affiliation: Biomechanics and Medical Information Institute, Beijing University of Technology, 100022, Beijing, People's Republic of China. yjzeng@bjut.edu.cn.
authors.forename: Y
authors.initials: Y
authors.lastname: Zeng
mesh_terms: D000328:Adult; D001182:Arthroscopy; D005260:Female; D000071562:Fractures, Avulsion / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016119:Posterior Cruciate Ligament / Q000293:injuries*; D012189:Retrospective Studies; D013536:Suture Techniques; D013537:Sutures; D013978:Tibial Fractures / Q000601:surgery*; D016896:Treatment Outcome
keywords: Arthroscopy; Avulsion fracture; High-strength line; Posterior cruciate ligament