{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T09:15:15Z","timestamp":1783588515344,"version":"3.55.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Posterior cruciate ligament (PCL) with tibial avulsion injuries commonly occurs following high-energy trauma. While the posteromedial approach is traditionally favoured for fixation, emerging evidence suggests that a direct posterior approach may be a safe and effective alternative for select fracture patterns.\u202f\n\nCase Report: We report the case of a 26-year-old polytrauma patient with no significant prior medical or surgical history who presented after a motorcycle accident with a PCL tibial avulsion injury resulting in a posterolateral and tibial intercondylar eminence fracture with a central articular posterior rim involvement. We performed a direct posterior approach, as described by Abbott-Carpenter. Fixation was achieved with FiberWire sutures for the ligamentous avulsion and cannulated screws for the bony fragments. The post-operative recovery was notable for a transient tibial nerve neuropraxia that resolved before discharge, and the patient progressed well in rehabilitation with favourable clinical outcomes at follow-up.\n\nConclusion: PCL tibial avulsion injuries associated with posterior rim fracture commonly result from hyperflexion mechanisms, classically described as dashboard-type injuries. The fracture morphology and ligamentous involvement determine the optimal surgical approach. This case highlights a less commonly reported fixation strategy using FiberWire sutures and cannulated screws through a direct posterior approach. Our findings contribute to the growing body of evidence that the direct posterior approach to repairing PCL tibial avulsion injury is safe and effective with minimal complications.\n\nKeywords: Posterior cruciate ligament avulsion, posterior rim fractures, fiberwire suture, cannulated screw.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i07.7618","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T08:35:16Z","timestamp":1783586116000},"page":"149-154","source":"Crossref","is-referenced-by-count":0,"title":["Direct Posterior Approach to Repairing Posterior Cruciate Ligament Tibial Avulsion Injury"],"prefix":"10.13107","volume":"16","author":[{"given":"Annie","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Belmonte","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Phieffer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T08:35:17Z","timestamp":1783586117000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/07\/direct-posterior-approach-to-repairing-posterior-cruciate-ligament-tibial-avulsion-injury\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i07.7618","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}