title: [Application of a self-made steel wire guide in the treatment of avulsion fractures of tibial posterior cruciate ligament].
abstract: OBJECTIVE
  To explore the effect of a self-made guiding needle of steel wire in guiding the wire through the tibial tunnel for the treatment of avulsion fractures of tibial posterior cruciate ligament with open reduction and wire fixation.
  
  
  METHODS
  From February 2011 to June 2014, a total of 22 patients with avulsion fractures of tibial posterior cruciate ligament underwent surgical treatments were analyzed, including 14 males and 8 females with an average age of 35.6 years old (ranged, 17 to 63 years old). According to Meyers classification, 9 patients were classified as type II, 13 patients were classified as type III. All the patients underwent open reduction and wire fixation with medial knee "L" shape approach. A wire guiding needle was used to guide the wire through the tibial tunnel during operation.
  
  
  RESULTS
  With the assistance of wire guidance needles, wires passed through the tibial tunnel rapidly during the operation in all the 22 patients. All the patients were followed up, X-ray imagings 6 months after operation showed the fractures healed well. The average follow-up time in all patients was 6 months (ranged, 6 to 12 months). The averaged Lysholm knee score in 22 knee was 92.7 +/- 3.4. All patients' posterior drawer test were negative.
  
  
  CONCLUSIONS
  Self-made wire guiding needle can simplify the operation procedures in which the wires pass through the tibial tunnel, shorten the operation time, reduce the surgical trauma and complications, and be worthy of clinical application.
authors: Jing-xiong
authors: JX
authors: Gui
authors: Ju-lun
authors: JL
authors: Ou
authors: Xiao-ping
authors: XP
authors: Wang
authors: Xiao-hua
authors: XH
authors: Zhu
authors: Sheng
authors: S
authors: Guo
authors: Guo-tai
authors: GT
authors: Xu
authors: Zhi-cheng
authors: ZC
authors: Deng
mesh_terms: D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D016119:Posterior Cruciate Ligament / Q000293:injuries / Q000601:surgery*; D013977:Tibia / Q000293:injuries / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery*; D055815:Young Adult