Surgical treatment of avulsion fractures at the tibial insertion of the posterior cruciate ligament: functional result

Barros, Marcos Alexandre; Cervone, Gabriel Lopes de Faria; Costa, André Luis Serigatti

doi:10.1016/j.rboe.2015.09.005

Cited by 6 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…9,12 Traditionally, reduction and internal fixation of PCL tibial avulsion fractures through open posterior surgery have achieved satisfactory clinical outcomes. 3,4,8,12,13 However, co-occurring intra-articular injuries cannot be treated at the same time, and some patients require further secondary arthroscopic surgeries. Hooper et al 3 have performed a systematic review of the literature on PCL tibial avulsion fractures, and they find that the incidence of PCL tibial avulsion fractures with meniscus injury is 16.5%, and the incidence of co-occurring ligament injury is 19.1%.…”

Section: Discussionmentioning

confidence: 99%

Improved arthroscopic high-strength suture fixation for the treatment of posterior cruciate ligament avulsion fracture

et al. 2022

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Background: To investigate the curative effects of improved non-absorbable high-strength fixation under arthroscopy on posterior cruciate ligament (PCL) avulsion fracture. Methods: A retrospective analysis was performed on 16 cases of PCL avulsion fracture in 15 patients who underwent high-strength suture fixation under arthroscopy from December 2017 to November 2019. According to the Meyers-McKeever classification, there were 2 cases of type II and 14 cases of type III. The fracture was reduced under arthroscopy, and knotted and fixed under the anterior and medial skin of the knee joint with high-strength sutures and a button plate. Regular follow-up of the knee joint healing and stability, the range of motion and the functional recovery of affected limb was conducted. The last follow-up was completed after the button plate was taken out. The Lysholm score was used to assess the recovery situation. Results: The button plate was taken out 6–9 months (average 7.2 months) after surgery. At the last follow-up, the fractures of the 15 patients were all healed. Moreover, six patients were positive for posterior drawer test within Grade 1 and the others were negative. All patients had no knee extension limitation, and the range of knee flexion reached more than 120°, with an average of (132.4 ± 3.6)°. The average Lysholm score was (93.1 ± 4.7). There were significant differences in knee flexion angle and Lysholm score at different time points after operation, p = 0.000. Conclusion: For the treatment of PCL avulsion fracture, the optimized arthroscopic high-strength suture fixation is easy to perform and repeat, and the fixation is strong and solid. The functions of the knee joint experienced good recovery after the surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Improved arthroscopic high-strength suture fixation for the treatment of posterior cruciate ligament avulsion fracture

et al. 2022

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…The consequent chronic knee instability can lead to chronic pain, knee stiffness, and progressive patellofemoral chondral damage. [4][5][6][7] As such, there is a consensus in the literature that the treatment of choice for displaced PCLTAF is surgical therapy. 8,9 Open reduction and internal fixation is the most frequently used and reported treatment.…”

Section: Introductionmentioning

confidence: 99%

Fracturas avulsivas tibiales del ligamento cruzado posterior fijadas con tornillos: Un estudio clínico y radiológico

Schmidt-Hebbel

Reyes

O'Connel

et al. 2021

Revista Chilena de Ortopedia y Traumatología

View full text Add to dashboard Cite

Resumen Objetivo Realizar la evaluación clínica, imagenológica y funcional de pacientes con fracturas avulsivas tibiales del ligamento cruzado posterior (FTALCPs) fijadas con tornillos canulados con técnica abierta. Métodos Los pacientes con FTALCP operados entre 2010 y 2017 fueron revisados retrospectivamente. Criterios de inclusión: fracturas agudas, desplazadas, test de cajón posterior grado III, lesiones combinadas de rodilla, seguimiento > 12 meses. Se excluyeron pacientes > 65 años, con FTALCPs bilaterales, lesiones del ligamento cruzado posterior (LCP) intrasustancia, test de cajón posterior grados I-II, fracturas expuestas, lesiones neurovasculares, y seguimientos < 12 meses. Objetivo primario: medir la estabilidad clínica mediante test de cajón posterior y radiografía de estrés arrodillada comparativa. Objetivos secundarios: nvaluar la consolidación en radiografías, complicaciones y funcionalidad con las escalas de Lysholm y Tegner. Resultados Se incluyeron 20 pacientes, con edad media de 41 años (rango: 32 a 61 años). El seguimiento promedio fue de 33,9 meses (rango: 12 a 82 meses). La estabilidad clínica mejoró en 93% (cajón posterior postoperatorio grados 0 y I) de los pacientes. La radiografía de estrés arrodillada mostró una diferencia promedio de 2,6 mm (rango: 0,1 mm a 6,8 mm) de traslación posterior al comparar con el lado sano. Todas las fracturas consolidaron. Siete pacientes presentaron complicaciones. El puntaje promedio de la escala de Lysholm al final del seguimiento fue de 85,17. El promedio preoperatorio del puntaje en la escala de Tegner no varió significativamente en comparación con el postoperatorio. Conclusiones La fijación de fracturas avulsivas tibiales del LCP con tornillos canulados con técnica abierta es efectiva en restaurar la estabilidad posterior y lograr la consolidación ósea. La funcionalidad clínica a mediano plazo es buena, a pesar del alto número de complicaciones y lesiones concomitantes.Nivel de evidencia tipo IV.

show abstract

“…A PCL injury most commonly results in an intrasubstance tear; however, femoral detachment and tibial avulsion patterns have been described [1•]. The reported incidence of general PCL injuries varies between 3 and 38% of acute knee injuries ( [2][3][4], with more recent reports showing an increased incidence over the years [5]. The wide range noted in the reported incidence can be attributed to variable clinical presentations, including asymptomatic PCL injury [6].…”

Section: Introductionmentioning

confidence: 99%

Posterior Cruciate Ligament Avulsion Fractures

Katsman

Strauss

Campbell

et al. 2018

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

In accordance with the rarity of these injuries, the literature is sparse regarding surgical outcomes. Many of these injuries are in the setting of a multi-ligamentous injury. Most authors suggest that displaced PCL avulsion fractures should undergo operative fixation and current data suggests excellent outcomes when treating these patients with either open or arthroscopic fixation, with a low complication rate. PCL avulsion fractures, although rare, should undergo fixation when displacement is present. Current studies report successful outcomes and a low complication rate.

show abstract

Surgical treatment of avulsion fractures at the tibial insertion of the posterior cruciate ligament: functional result

Cited by 6 publications

References 15 publications

Improved arthroscopic high-strength suture fixation for the treatment of posterior cruciate ligament avulsion fracture

Improved arthroscopic high-strength suture fixation for the treatment of posterior cruciate ligament avulsion fracture

Fracturas avulsivas tibiales del ligamento cruzado posterior fijadas con tornillos: Un estudio clínico y radiológico

Posterior Cruciate Ligament Avulsion Fractures

Contact Info

Product

Resources

About