Biomechanical Evaluation of an All-Inside Posterior Medial Meniscal Root Repair Technique Via Suture Fixation to the Posterior Cruciate Ligament

2020 ◽  
Vol 36 (9) ◽  
pp. 2488-2497.e6 ◽  
Author(s):  
Bryan M. Saltzman ◽  
Nahir A. Habet ◽  
Allison J. Rao ◽  
David P. Trofa ◽  
Keith T. Corpus ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Suture Fixation ◽  
Repair Technique ◽  
Meniscal Root ◽  
Root Repair ◽  
Biomechanical Evaluation

Biomechanical evaluation of meniscal root repair: a porcine study

2013 ◽  
Vol 23 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Ekkehard F. Röpke ◽  
Sebastian Kopf ◽  
Steffen Drange ◽  
Roland Becker ◽  
Christoph H. Lohmann ◽  
...  
Keyword(s):  
Meniscal Root ◽  
Root Repair ◽  
Biomechanical Evaluation

Arthroscopic Suture Fixation for Avulsion Fractures in the Tibial Attachment of the Posterior Cruciate Ligament

2012 ◽  
Vol 28 (10) ◽  
pp. 1454-1463 ◽  
Author(s):  
Szu-Yuan Chen ◽  
Chun-Ying Cheng ◽  
Shih-Sheng Chang ◽  
Min-Chain Tsai ◽  
Chih-Hao Chiu ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Suture Fixation ◽  
Avulsion Fractures

Single-Tunnel Suture Fixation of Posterior Cruciate Ligament Avulsion Fracture

2009 ◽  
Vol 25 (1) ◽  
pp. 78-85 ◽  
Author(s):  
Jianchao Gui ◽  
Liming Wang ◽  
Yiqiu Jiang ◽  
Qin Wang ◽  
Zhong Yu ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Suture Fixation

Biomechanical Evaluation of Bioabsorbable versus Metallic Screws for Posterior Cruciate Ligament Inlay Graft Fixation

2009 ◽  
Vol 37 (4) ◽  
pp. 748-753 ◽  
Author(s):  
Aman Gupta ◽  
Christian Lattermann ◽  
Matthew Busam ◽  
Andrew Riff ◽  
Bernard R. Bach ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Graft Fixation ◽  
Biomechanical Evaluation

Comparison of Tibial Graft Fixation between Simulated Arthroscopic and Open Inlay Techniques for Posterior Cruciate Ligament Reconstruction

2007 ◽  
Vol 35 (10) ◽  
pp. 1731-1738 ◽  
Author(s):  
R. Brick Campbell ◽  
Alec Torrie ◽  
Aaron Hecker ◽  
Jon K. Sekiya
Keyword(s):  
Posterior Cruciate Ligament ◽  
Ligament Reconstruction ◽  
Screw Fixation ◽  
Cruciate Ligament ◽  
Suture Fixation ◽  
Posterior Cruciate Ligament Reconstruction ◽  
Cyclic Testing ◽  
Cruciate Ligament Reconstruction ◽  
Early Strength ◽  
Tibial Inlay

Background Techniques for reconstruction of the posterior cruciate ligament continue to evolve to improve clinical results. Recent arthroscopic reconstruction methods using tibial inlay grafts require suture fixation to avoid a posterior approach to the knee. Hypothesis Early strength of the tibial fixation of posterior cruciate ligament inlay grafts, designed for an arthroscopic approach and using suture fixation, is not significantly different than that of open technique grafts using screw fixation. Study Design Controlled laboratory study. Methods Six paired human tibias were randomized to a reconstruction using an open inlay technique with two 4.0-mm cancellous lag screws or an instrumented technique suitable for an all-arthroscopic approach using 2 No. 5 Ethibond sutures tied over a button on the anterior tibial cortex. Cyclic testing of each construct was done before loading to failure. Results The loads for each group at 3-mm displacement and at 5-mm displacement were not found to be significantly different. Ultimate load for the screw group was 762 N and for the suture group was 582 N (P = .31). Stiffness was 89.8 N/mm for the screw inlays and 85.1 N/mm for the suture inlays (P = .68). Cyclic testing demonstrated no advantages of screw fixation over sutures. No suture failure was noted. Conclusion The suture fixation technique for tibial inlay posterior cruciate ligament reconstruction appears to approximate the early strength of screw fixation. Clinical Relevance Arthroscopic techniques for tibial inlay reconstruction of the posterior cruciate ligament requiring suture fixation may offer similar initial biomechanical fixation as current open inlay techniques without the need for an open posterior knee approach.

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