Treatment of Posterior Cruciate Ligament Disinsertion by Posterior Screw Fixation: A Review of 3 Cases

Abstract

Posterior cruciate ligament (PCL) injuries have a reported incidence of between 3% and 37%, depending on the clinical setting [1]. Posterior cruciate ligament (PCL) avulsion fracture is a rare trauma pathology. Oriented by a careful clinical examination, magnetic resonance imaging (MRI) confirms the diagnosis. Surgical treatment gives good functional results in most cases. The evolution of knee ligament surgery has not made posterior cruciate ligament (PCL) surgery as reliable and reproducible as anterior cruciate ligament (ACL) surgery. The treatment of posterior cruciate ligament (PCL) injuries remains a particularly debated subject in terms of indications but also in terms of technical choices and approach. We describe in this work the reinsertion of the posterior cruciate ligament in its retro-spinal surface of the tibia by screwing in 2 sportsmen victims of high energy sports accidents and a 3rd patient victim of a fall in the stairs knee in hyperextension, the patients are carriers of an "isolated" desinsertion of the posterior cruciate ligament (PCL).