All-Arthroscopic Posterior Cruciate Ligament Distal Reattachment With Extracortical Fixation

Krzysztof Hermanowicz; Adrian Góralczyk; Kinga Danowska; Dariusz Gałązka; Robert F LaPrade; Konrad Malinowski

doi:10.1016/j.eats.2019.07.019

All-Arthroscopic Posterior Cruciate Ligament Distal Reattachment With Extracortical Fixation

Arthrosc Tech. 2019 Nov 11;8(11):e1425-e1430. doi: 10.1016/j.eats.2019.07.019. eCollection 2019 Nov.

Authors

Krzysztof Hermanowicz¹, Adrian Góralczyk¹, Kinga Danowska², Dariusz Gałązka³, Robert F LaPrade⁴, Konrad Malinowski⁵

Affiliations

¹ ORTIM Orthopaedic Clinic, Bialystok, Poland.
² Student Scientific Society, Department of Pediatric Orthopaedics and Traumatology, Medical University of Bialystok, Bialystok, Poland.
³ Department of Orthopaedics and Traumatology, District Hospital in Hajnówka, Hajnówka, Poland.
⁴ Twin Cities Orthopedics, Edina, Minnesota, U.S.A.
⁵ Artromedical Orthopaedic Clinic, Belchatow, Poland.

Abstract

Avulsion fractures of the posterior cruciate ligament (PCL) are a rare, but serious, knee pathology. Early surgical treatment is regarded as necessary to maintain knee stability. Recommended management involves open reduction with internal fixation through a posterior approach. However, open surgeries are associated with a greater risk of complications. Current data suggest excellent outcomes for arthroscopic-assisted fixation, with a low complication rate. The purpose of this technical note is to present an all-arthroscopic PCL distal reattachment with extracortical fixation technique. This technique provides precise fracture reduction, is easily reproducible, and is relatively safe to treat PCL tibial avulsion fractures.