Tratamento cirúrgico da fratura-avulsão da inserção tibial do L.C.P. do joelho: experiência de 21 casos

Piedade, Sérgio Rocha; Mischan, Martha Maria

doi:10.1590/s1413-78522007000500008

Cited by 14 publications

(6 citation statements)

References 15 publications

(34 reference statements)

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“…Due to protective reflex muscle spasms and painful mobilization, appropriate knee examination is often difficult. Classical symptoms such as a posterior sag sign or positive posterior drawer are usually difficult to find due to some limitations during examination especially in children [11]. For these reasons, proper radiologic diagnostic are crucial for correct management.…”

Section: Discussionmentioning

confidence: 99%

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Avulsion fracture of the tibial insertion of the PCL in child – case report

Matuszewski¹,

Kałakucki²,

Ciszewski³

2019

Chir. Narzadow Ruchu Ortop. Pol.

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the posterior cruciate ligament (PcL) plays a relevant role in maintaining proper mechanical stability of the knee joint. Avulsion fracture of the tibial insertion of the PcL is a very rare injury in children. Despite of clinical signs, radiologic studies are fundamental for its correct diagnosis and treatment. Its might be treated either conservative or operative. In children population there are not too many scientific studies which circumscribed such injury. therefore, we still do not know what is the most effective treatment for avulsion fracture of tibial insertion of the PcL. the case we describe is a classical avulsion fracture of the tibial insertion of the PcL with accurate diagnosis and the surgical treatment followed by short follow-up control. the lesion was fixed with the screw through an open posterior approach with anatomic reduction. the patient has been closed followed for 6 months with extreme good results such as: stable painless knee and excellent functional outcome.

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Section: Discussionmentioning

confidence: 99%

“…Although surgically treated seems to be more effective. It allows for early mobilization of the patient with shorter rehabilitation time [9,11]. When treated surgically more recent studies show successful outcomes with both the open and arthroscopic-assisted treatment [10].…”

Section: Discussionmentioning

confidence: 99%

Avulsion fracture of the tibial insertion of the PCL in child – case report

Matuszewski¹,

Kałakucki²,

Ciszewski³

2019

Chir. Narzadow Ruchu Ortop. Pol.

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“…Clinical outcomes achieved at the objective evaluation suggest that this injury should be interpreted not only as a purely bone injury, but also as a bone-ligament injury 8 .…”

Section: Discussionmentioning

confidence: 99%

Management of posterior cruciate ligament avulsion by cannulated screw fixation

Lamichhane

Mahara

2013

Journal of Institute of Medicine

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Introduction: Posterior cruciate ligament (PCL) is the main posterior stabilizer of the knee. The PCL also plays a role as a central axis controlling and imparting rotational stability to the knee. The most effective management of posterior cruciate ligament (PCL) injuries remains unclear and the natural history of untreated PCL injuries is controversial. The need for surgical repair of displaced bony PCL avulsions is less controversial. Here we present repair of PCL avulsion by screw fixation. Methods: There were total of 18 patients (Male 12 and Female 6) operated for isolated PCL avulsion from tibia during the period from 2002 to 2010. Preoperative evaluation was done clinically and radiologically .MRI was advised for suspected other ligaments and meniscal injuries. Patients with other ligaments and meniscal injury were not included in this series. All cases operated by simplified approach described by Burks and Schaffer. Avulsed fragment was reduced and xed with 4 mm a cannulated screw. Evaluation of the patients were done clinically, radilologically and using functional scale of Tegner-Lysholm. Results: Out of 18 patients, 12 patients were male and 6 patients were female. Average age of the patients was 29yrs (range 18-47 yrs). Average period of follow up was 31 months (ranging 12 - 52 m). Range of movement was found full in all patients at the last follow up. Grade 1-2 laxity was found in 8 patients but subjectively they were not aware of the laxity. Average Lysholm score was 91 (range 87-97). Conclusion: Improvised approach by Burk and Schaffer is safer and easier than the classical one. Open reduction and fixation with cannulated screw is one of the excellent techniques for tibial avulsion of posterior cruciate ligament. DOI: http://dx.doi.org/10.3126/joim.v34i3.8914 Journal of Institute of Medicine, December, 2012; 34:28-31

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“…[9][10][11][16][17][18][19][20][21][22] The difficulties in conducting trials on surgical interventions are well known and cannot be denied. However, once it is decided to conduct a randomized clinical trial, the sample size calculation, selection and description of the randomization and blinding of the researcher/evaluator and, whenever possible, of the patients, are required in order to provide evidence that can be safely incorporated into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Designs of studies published in two Brazilian journals of orthopedics and sports medicine, recently indexed in the ISI Web of Science

Riera

2009

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: The methodology and relevance of articles are among the keystones for promoting their citation and increasing journals' impact factors. Study designs appropriate for answering the questions and adequate sample sizes have the aim of reducing the risk of bias. This study evaluated the articles published in two Brazilian journals of orthopedics and sports medicine that were recently indexed in the ISI Web of Science, regarding study design, sample size calculation, randomization and blinding. DESIGN AND SETTING:Descriptive study at Brazilian Cochrane Center. METHODS:Through a manual search, all original manuscripts published in 2007 in Acta Ortopédica Brasileira and Revista Brasileira de Medicina do Esporte were selected and evaluated.RESULTS: All the 60 articles published in Acta Ortopédica Brasileira and the 87 articles in Revista Brasileira de Medicina do Esporte were included and evaluated. The commonest design in Acta Ortopédica Brasileira was experimental studies (n = 19) and in Revista Brasileira de Medicina do Esporte, update or review articles (n =14). Sample calculations were seen in a minority of the articles. None of the eight clinical trials published presented sample calculations or adequate randomization processes. Three were described as blinded, but none described the measures taken to prevent disclosure of the allocation concealment.CONCLUSIONS: Publication of studies of good methodological quality other than review and experimental studies should be strongly encouraged among Brazilian journals, with the aim of increasing their citation and therefore their impact factor. RESUMO CONTEXTO E OBJETIVO:A qualidade metodológica e a pertinência dos artigos estão entre algumas das peças fundamentais para promover sua citação e aumentar o fator de impacto da revista. Um desenho de estudo apropriado para responder às perguntas e uma amostra de tamanho adequado visam reduzir o risco de viés. Este estudo avaliou os artigos publicados em duas revistas brasileiras das áreas de ortopedia e medicina esportiva recentemente indexadas no ISI Web of Science, com relação a desenho do estudo, cálculo do tamanho amostral, aleatorização e mascaramento. TIPO DE ESTUDO E LOCAL: Estudo descritivo no Centro Cochrane do Brasil.MÉTODOS: Por meio de pesquisa manual, foram selecionados e avaliados todos os manuscritos originais publicados em 2007 na Acta Ortopédica Brasileira e Revista Brasileira de Medicina do Esporte. RESULTADOS:Todos os 60 artigos publicados na Acta Ortopédica Brasileira e os 87 artigos da Revista Brasileira de Medicina do Esporte foram incluídos e avaliados. O desenho mais comum na Acta Ortopédica Brasileira foi de estudo experimental (n = 19) e na Revista Brasileira de Medicina do Esporte, de atualização ou revisão (n = 14). O cálculo da amostra foi observado em uma minoria dos artigos. Nenhum dos oito ensaios clínicos publicados apresentou o cálculo do tamanho da amostra, nem o processo de aleatorização adequado. Três foram descritos como cegos, no entanto, nenhum descreveu a...

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Tratamento cirúrgico da fratura-avulsão da inserção tibial do L.C.P. do joelho: experiência de 21 casos

Cited by 14 publications

References 15 publications

Avulsion fracture of the tibial insertion of the PCL in child – case report

Avulsion fracture of the tibial insertion of the PCL in child – case report

Management of posterior cruciate ligament avulsion by cannulated screw fixation

Designs of studies published in two Brazilian journals of orthopedics and sports medicine, recently indexed in the ISI Web of Science

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