Arthroscopic Orthocord suture binding combined with autologous hamstring tendon reconstruction in the treatment of old avulsion fractures of posterior cruciate ligament tibial insertion
ZHU Peili
SONG Zimin
JIN Yigao
PENG Lei
LI Li
Abstract：Objective To explore the surgical effects of arthroscopic Orthocord suture binding combined with autologous hamstring tendon reconstruction in the treatment of old posterior cruciate ligament(PCL)tibial insertion avulsion fracture.Methods Clinical data of 10 patients with old PCL tibial insertion avulsion fracture treated by arthroscopic Orthocord suture binding combined with autologous hamstring tendon reconstruction in Nanyang Traditional Chinese Medicine Hospital from January 2018 to October 2023 were retrospectively analyzed.The anterior-posterior displacement of the knee joint was examined before the surgery and at the latest follow-up,and the International Knee Documentation Committee(IKDC)score and Lysholm score were evaluated at the same time.Results The operation was completed smoothly in both groups.The follow-up time ranged from 6 to 26 months,with a mean follow-up time of(17.30±2.48)months.The anterior-posterior displacement of the knee joint,IKDC score,and Lysholm score improved from preoperative values of(10.10±1.52)mm,(51.60±6.20)points,and(50.10±6.74)points to the latest follow-up values of(1.70±0.67)mm,(91.70±3.53)points,and(93.70±3.53)points,respectively.Differences of these indicators before and after surgery showed statistical significance(P<0.05).Conclusion Arthroscopic Orthocord suture binding combined with autologous hamstring tendon reconstruction could achieve satisfactory short-term effects in the treatment of old PCL tibial avulsion insertion fractures with improvement of the knee joint stability and function scoring.
Keywords：Posterior cruciate ligamentTibial avulsion fractureChronic injuryArthroscopySuture fixationHamstring tendonsLigament reconstruction
Publication Date：2025-06-15
Online Publishing Date：2025-12-19(First online date of this platform, not the publication date of the document)
Pages：5( 163-167 )