Arthroscopic intercruciate trans-septal posterior cruciate ligament avulsion fixation with pull-through technique using a single button adjustable loop device

Numerous arthroscopic techniques have been described for the fixation of posterior cruciate ligament avulsion, including the pull-out technique with suture or tape fixed with a knot tied over a free cortical button on the anterior tibial cortex, and the adjustable loop with double cortical buttons....

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Bibliographic Details
Published inJournal of Arthroscopic Surgery and Sports Medicine Vol. 5; pp. 125 - 129
Main Authors Gupta, Himanshu, Mittal, Bharat Swaroop, Jain, Vineet
Format Journal Article
LanguageEnglish
Published 26.06.2024
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Summary:Numerous arthroscopic techniques have been described for the fixation of posterior cruciate ligament avulsion, including the pull-out technique with suture or tape fixed with a knot tied over a free cortical button on the anterior tibial cortex, and the adjustable loop with double cortical buttons. We present a modification of the suture pull-out method utilizing the readily available adjustable loop with a single cortical loop button for fixation on the anteromedial tibial cortex. The surgery is performed through an intercruciate trans-septal approach with the suture bridge configuration and cross-over of suture tapes, with two diverging tibial tunnels with a single anterior opening forming a “Y-shaped tunnel.” The advantages of the suture pull-through method and the adjustable loop device can be combined using this technique modification.
ISSN:2582-7332
2582-7332
DOI:10.25259/JASSM_15_2024