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The Journal of Bone and Joint Surgery, Vol 57, Issue 5 669-672, Copyright © 1975 by Journal of Bone and Joint Surgery, Inc
Isolated avulsion of the tibial attachment of the posterior cruciate ligament of the knee
MH Meyers
Of fourteen isolated avulsion fracutres of the posterior tibial attachment
of the posterior cruciate ligament, one was undisplaced and five were
minimally displaced. These six were treated conservatively, but four of the
five displaced avulsion fractures progressed to non-union and significant
functional disability. Eight displaced avulsion injuries were treated by
open reduction. In four knees the fragment was sutured back to its origin
on the posterior superior aspect of the tibia, and three of the these
united. In two knees the fragment was large enough to fix with a screw and
union ensued. There was excellent functional capacity in five of the six
that united. The other two displaced fractures, treated three and seven
months after injury, had open reduction and the fragments were sutured to
the tibia in an advanced position. Union was obtained in both with good
functional capacity.
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