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- Title
Treatment of posterior cruciate ligament avulsion fractures of the tibia using a toothed plate and hollow lag screw.
- Authors
Wei Chen; Wei Luo; Zhiqing Chen; Yi Jiang; Chen, Wei; Luo, Wei; Chen, Zhiqing; Jiang, Yi
- Abstract
<bold>Introduction: </bold>To investigate the feasibility and clinical efficacy of using a toothed plate and hollow lag screw in the surgical treatment of posterior cruciate ligament (PCL) avulsion fractures of the tibia. <bold>Methods: </bold>A total of 21 patients were treated with open reduction and internal fixation using a toothed plate and hollow lag screw, through a posteromedial approach using an inverted L-shaped incision. The patients were allowed appropriate functional exercises, including knee flexion and extension, after removal of the plaster at postoperative weeks 3-6. The follow-up period was between six months and two years. <bold>Results: </bold>This was a retrospective study of patients with PCL avulsion fractures of the tibia caused by road traffic accidents (n = 9), sports-related injuries (n = 6), falls (n = 5) and machinery-related injuries (n = 1). 20 patients presented with fresh fractures and one with an old fracture. The patients (13 men, eight women) had a mean age of 41.5 (range 19-72) years. Anatomical reduction of the fracture and satisfactory fixation were achieved in all 21 patients. Bony union was achieved in all patients at 8-12 weeks after surgery. Six months after surgery, knee flexion was 121.9° ± 10.4° and extension was 0°. According to the Lysholm Knee Scoring Scale, 19 patients were rated as 'excellent' and two as 'good'. <bold>Conclusion: </bold>The use of a toothed plate and hollow lag screw could be a simple and reliable approach for PCL avulsion fractures of the tibia. Patients achieved good knee function after surgery.
- Subjects
AVULSION fractures; POSTERIOR cruciate ligament injuries; TIBIA injuries; INTERNAL fixation in fractures; ORTHOPEDIC surgery; POSTERIOR cruciate ligament surgery; ARTHROSCOPY; BONE screws; FRACTURE fixation; LONGITUDINAL method; MAGNETIC resonance imaging; ORTHOPEDIC implants; POSTERIOR cruciate ligament; RETROSPECTIVE studies; DIAGNOSIS
- Publication
Singapore Medical Journal, 2016, Vol 57, Issue 1, p39
- ISSN
0037-5675
- Publication type
journal article
- DOI
10.11622/smedj.2016010