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[Treatment of tibial avulsion fracture of the posterior cruciate ligament with open reduction and steel-wire internal fixation].
- Source :
-
Zhongguo gu shang = China journal of orthopaedics and traumatology [Zhongguo Gu Shang] 2011 Mar; Vol. 24 (3), pp. 195-8. - Publication Year :
- 2011
-
Abstract
- Objective: To study the curative effects of the treatment of tibial avulsion fracture of the posterior cruciate ligament with open reduction and steel-wire internal fixation.<br />Methods: From January 2003 to June 2009, 28 patients of tibial avulsion fracture of the posterior cruciate ligament were treated with open reduction and steel-wire internal fixation through posteromedial inverted "L" approach. There were 19 males and 9 females with an average age of 35.3 years old ranging from 16 to 55 years. The X-ray examination showed that there were II degree displaced in 10 cases and III degree in 18 patients. The affected lower extremity was put in a controlled hinge knee brace after operation. The patients were asked to do passive extension and flexion of the knee joint with the assistance of a CPM 2 weeks after operation,and allowed to be partial weight-bearing as tolerated with the hinged brace locked in extension if concomitant injuries allowed 4 weeks postoperatively. The brace were removed 6 weeks later.<br />Results: Among them, 25 patients were followed up for 6 to 24 months with an average of 15 months. The X-ray examination showed satisfactory reduction, and bony union was obtained in all the patients. The Lachman test was negative in all patients. No complications such as malunion or joint stiffness were found. The extension of affected knee was normal and its flexion were (136 +/- 12) degrees. According to Lysholm knee score system,it was preoperatively (41.80 +/- 6.16) and (94.10 +/- 8.26) six months after surgery respectively. Twenty-two cases were excellent, 2 cases good and 1 fair.<br />Conclusion: Treatment of tibial avulsion fracture of the posterior cruciate ligament with open reduction and internal fixation with wires through posteromedial inverted "L" approach is a safe, effective method, due to its stable fixation and relatively low expense. It is believed as an ideal choice for tibial avulsion fracture of the posterior cruciate ligament.
- Subjects :
- Adolescent
Adult
Female
Humans
Male
Middle Aged
Posterior Cruciate Ligament diagnostic imaging
Posterior Cruciate Ligament physiopathology
Posterior Cruciate Ligament surgery
Tibial Fractures diagnostic imaging
Tibial Fractures physiopathology
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Fracture Fixation, Internal methods
Posterior Cruciate Ligament injuries
Tibial Fractures surgery
Subjects
Details
- Language :
- Chinese
- ISSN :
- 1003-0034
- Volume :
- 24
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Zhongguo gu shang = China journal of orthopaedics and traumatology
- Publication Type :
- Academic Journal
- Accession number :
- 21485563