{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:23:18Z","timestamp":1787768598711,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Posterior cruciate ligament (PCL) avulsion fractures from the tibial insertion are rare but clinically notable injuries that can compromise knee stability if not treated effectively. Arthroscopic approaches have increasingly replaced open surgery for such injuries due to their less invasive nature and lower risk of postoperative issues. This retrospective case series evaluates the clinical and radiological outcomes of 16 patients treated with a single suture tape pullout approach for PCL tibial avulsion fractures. The average age of the patients was 29.6 years, and all were treated within 3 weeks of injury. Functional assessment was conducted using Lysholm and International Knee Documentation Committee (IKDC) scores, and fracture healing was monitored with computed tomography. At a mean follow-up of 16.8 months, the Lysholm score improved from 48.2 to 91.7, and the IKDC score improved from 38.5 to 86.3, both with statistically notable\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    values (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). All patients obtained radiological union within 12 weeks. No major postoperative issues or fixation failures occurred. The dual-tunnel suture tape pullout approach offers excellent stability, facilitates early rehabilitation, and offers high union rates with minimal postoperative issues.\n                  <\/jats:p>","DOI":"10.4103\/aam.aam_522_25","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:01:14Z","timestamp":1772625674000},"page":"940-944","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Use of Suture Tape through a Single Tunnel to Fix Posterior Cruciate Ligament Avulsion Fracture of Tibia, Via Arthroscopy: A Case Series of 16 Patients"],"prefix":"10.4103","volume":"25","author":[{"given":"Abhijit","family":"More","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urva","family":"Dholu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Ugile","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Setu","family":"Kaneria","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhagyashri","family":"Soor","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"More","sequence":"additional","affiliation":[{"name":"Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"R1-20260803","doi-asserted-by":"crossref","first-page":"275","DOI":"10.5792\/ksrr.17.073","article-title":"Open posterior approach versus arthroscopic suture fixation for displaced posterior cruciate ligament avulsion fractures: Systematic review","volume":"30","author":"Song","year":"2018","journal-title":"Knee Surg Relat Res"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.2106\/JBJS.ST.17.00044","article-title":"A posterior approach to open reduction and internal fixation of displaced posterior cruciate ligament tibial osseous avulsions","volume":"8","author":"Hooper","year":"2018","journal-title":"JBJS Essent Surg Tech"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"698","DOI":"10.2106\/00004623-200105000-00008","article-title":"Arthroscopically assisted treatment of avulsion fractures of the posterior cruciate ligament from the tibia","volume":"83","author":"Kim","year":"2001","journal-title":"J Bone Joint Surg Am"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"316","DOI":"10.5792\/ksrr.16.025","article-title":"Arthroscopic pullout fixation for a small and comminuted avulsion fracture of the posterior cruciate ligament from the tibia","volume":"29","author":"Nakagawa","year":"2017","journal-title":"Knee Surg Relat Res"},{"key":"R5-20260803","author":"Bell","year":"2021","journal-title":"Meyers and McKeever Classification of ACL Avulsion Fractures 2021"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/00003086-198812000-00029","article-title":"Avulsion fractures of the posterior cruciate ligament of the knee. An experimental percutaneous rigid fixation technique under arthroscopic control","volume":"237","author":"Martinez-Moreno","year":"1988","journal-title":"Clin Orthop Relat Res"},{"key":"R7-20260803","first-page":"Doc02","article-title":"All-arthroscopic treatment of tibial avulsion fractures of the posterior cruciate ligament","volume":"5","author":"Gwinner","year":"2016","journal-title":"GMS Interdiscip Plast Reconstr Surg DGPW"},{"key":"R8-20260803","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1177\/0363546508330143","article-title":"The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later","volume":"37","author":"Briggs","year":"2009","journal-title":"Am J Sports Med"},{"key":"R9-20260803","first-page":"25","article-title":"IKDC Subjective Knee Form and Marx Activity Rating Scale are suitable to evaluate all orthopaedic sports medicine knee conditions: A systematic review","volume":"2016","author":"Kanakamedala","journal-title":"J ISAKOS"},{"key":"R10-20260803","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/00003086-199005000-00031","article-title":"A simplified approach to the tibial attachment of the posterior cruciate ligament","volume":"254","author":"Burks","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"R11-20260803","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1302\/0301-620X.50B2.334","article-title":"Rupture of the posterior cruciate ligament of the knee","volume":"50","author":"Trickey","year":"1968","journal-title":"J Bone Joint Surg Br"},{"key":"R12-20260803","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/0749-8063(95)90127-2","article-title":"Posterior cruciate ligament injuries in trauma patients: Part II","volume":"11","author":"Fanelli","year":"1995","journal-title":"Arthroscopy"},{"key":"R13-20260803","doi-asserted-by":"crossref","first-page":"1454","DOI":"10.1016\/j.arthro.2012.04.141","article-title":"Arthroscopic suture fixation for avulsion fractures in the tibial attachment of the posterior cruciate ligament","volume":"28","author":"Chen","year":"2012","journal-title":"Arthroscopy"},{"key":"R14-20260803","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1007\/s00167-007-0466-x","article-title":"Arthroscopic fixation of anterior cruciate ligament tibial avulsion fractures using bioabsorbable suture anchors","volume":"16","author":"In","year":"2008","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"updated-by":[{"DOI":"10.4103\/aam.aam_362_26","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000}},{"DOI":"10.4103\/aam.aam_362_26","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000}}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_522_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:16:34Z","timestamp":1787768194000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_522_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_522_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,4]]},"assertion":[{"value":"2025-09-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}