Skip to main content

Advertisement

SpringerLink
Log in

Fracture of the tibial bone block after posterior cruciate ligament allograft reconstruction using double cross pins

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

We report the fracture of the tibial bone block after posterior cruciate ligament reconstruction using double cross pins for bone block fixation in the postoperative period. The possible reasons include the size of bone block, direction of cross pin or the quality of bone block. This case emphasizes the biomechanical properties and failure of modes of double cross pin.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Zantop T, Weimann A, Wolle K, Musahl V, Langer M, Petersen W (2007) Initial and 6 weeks postoperative structural properties of soft tissue anterior cruciate ligament reconstructions with cross-pin or interference screw fixation: an in vivo study in sheep. Arthroscopy 23:14–20

    Article  PubMed  Google Scholar 

  2. Zantop T, Weimann A, Rummler M, Hassenpflug J, Petersen W (2004) Initial fixation strength of two bioabsorbable pins for the fixation of hamstring grafts compared to interference screw fixation: single cycle and cyclic loading. Am J Sports Med 32:641–649

    Article  PubMed  Google Scholar 

  3. Weimann A, Zantop T, Rummler M, Hassenpflug J, Petersen W (2003) Primary stability of bone-patellar tendon-bone graft fixation with biodegradable pins. Arthroscopy 19:1097–1102

    PubMed  Google Scholar 

  4. Marks P, O’Donnell S, Yee G (2008) A pilot clinical evaluation comparing the Mitek bone-tendon-bone cross pin and bioabsorbable screw in anterior cruciate ligament reconstruction fixation, a randomized double blind controlled trial. Knee 15(3):168–173

    Google Scholar 

  5. Mahirogullari M, Oguz Y, Ozkan H (2006) Reconstruction of the anterior cruciate ligament using bone-patellar tendon-bone graft with double biodegradable femoral pin fixation. Knee Surg Sports Traumatol Arthrosc 14:646–653

    Article  PubMed  Google Scholar 

  6. Gorschewsky O, Stapf R, Geiser L, Geitner U, Neumann W (2007) Clinical comparison of fixation methods for patellar bone quadriceps tendon autografts in anterior cruciate ligament reconstruction: absorbable cross-pins versus absorbable screws. Am J Sports Med 35:2118–2125

    Article  PubMed  Google Scholar 

  7. Choi NH, Lee JH, Victoroff BN (2007) Do broken cross-pins compromise stability after anterior cruciate ligament reconstructions with hamstring tendons? Arthroscopy 23:1334–1340

    Google Scholar 

  8. Han I, Kim YH, Yoo JH, Seong SC, Kim TK (2005) Broken bioabsorbable femoral cross-pin after anterior cruciate ligament reconstruction with hamstring tendon graft: a case report. Am J Sports Med 33:1742–1745

    Article  PubMed  Google Scholar 

  9. Lim HC, Bae JH, Wang JH, Yang JH, Seok CW, Kim HJ, Kim SJ (2009) Double-bundle PCL reconstruction using tibial double cross-pin fixation. Knee Surg Sports Traumatol Arthrosc (in press)

  10. Lim HC, Bae JH, Wang JH, Bae TS, Kim CW, Hwang JH, Yoon JY (2009) The biomechanical performance of bone block and soft-tissue posterior cruciate ligament graft fixation with interference screw and cross-pin techniques. Arthroscopy 25:250–256

    Article  PubMed  Google Scholar 

  11. Ma CB, Francis K, Towers J, Irrgang J, Fu FH, Harner CH (2004) Hamstring anterior cruciate ligament reconstruction: a comparison of bioabsorbable interference screw and endobutton-post fixation. Arthroscopy 20:122–128

    PubMed  Google Scholar 

  12. Webster KE, Feller JA, Hameister KA (2001) Bone tunnel enlargement following anterior cruciate ligament reconstruction: a randomised comparison of hamstring and patellar tendon grafts with 2-year follow-up. Knee Surg Sports Traumatol Arthrosc 9:86–91

    Article  CAS  PubMed  Google Scholar 

  13. Zysk SP, Fraunberger P, Veihelmann A, Dorger M, Kalteis T, Maier M, Pellengahr C, Refior HJ (2004) Tunnel enlargement and changes in synovial fluid cytokine profile following anterior cruciate ligament reconstruction with patellar tendon and hamstring tendon autografts. Knee Surg Sports Traumatol Arthrosc 12:98–103

    Article  CAS  PubMed  Google Scholar 

  14. Weiler A, Hoffmann RF, Bail HJ, Rehm O, Sudkamp NP (2002) Tendon healing in a bone tunnel. Part II: Histologic analysis after biodegradable interference fit fixation in a model of anterior cruciate ligament reconstruction in sheep. Arthroscopy 18:124–135

    Article  PubMed  Google Scholar 

  15. Weiler A, Hoffmann RF, Stahelin AC, Helling HJ, Sudkamp NP (2000) Biodegradable implants in sports medicine: the biological base. Arthroscopy 16:305–321

    Article  CAS  PubMed  Google Scholar 

  16. Zantop T, Ruemmler M, Welbers B, Langer M, Weimann A, Petersen W (2005) Cyclic loading comparison between biodegradable interference screw fixation and biodegradable double cross-pin fixation of human bone-patellar tendon-bone grafts. Arthroscopy 21:934–941

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Korea University College of Medicine, Guro Hospital, 80 Guro-dong, Guro-gu, Seoul, 152-703, Republic of Korea

    Hong Chul Lim, Ji Hoon Bae, Chang Woo Seok & Min Keun Kim

  2. Department of Orthopaedic Surgery, Korea University College of Medicine, Ansan Hospital, Ansan-Si, Gyeonggi-Do, Republic of Korea

    Joon Ho Wang

Authors
  1. Hong Chul Lim
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ji Hoon Bae
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Joon Ho Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Chang Woo Seok
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Min Keun Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ji Hoon Bae.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lim, H.C., Bae, J.H., Wang, J.H. et al. Fracture of the tibial bone block after posterior cruciate ligament allograft reconstruction using double cross pins. Arch Orthop Trauma Surg 130, 385–389 (2010). https://doi.org/10.1007/s00402-009-1005-7

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-009-1005-7

Keywords

Search

Navigation