Treatment of posterior cruciate ligament avulsion fractures of the tibia using a toothed plate and hollow lag screw
Singapore medical journal
; : 39-44, 2016.
Article
in En
| WPRIM
| ID: wpr-276693
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WPRO
ABSTRACT
<p><b>INTRODUCTION</b>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.</p><p><b>METHODS</b>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.</p><p><b>RESULTS</b>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'.</p><p><b>CONCLUSION</b>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.</p>
Key words
Full text:
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Index:
WPRIM
Main subject:
Arthroscopy
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General Surgery
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Tibial Fractures
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Wounds and Injuries
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Bone Plates
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Bone Screws
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Diagnostic Imaging
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Magnetic Resonance Imaging
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Retrospective Studies
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Follow-Up Studies
Type of study:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Limits:
Adult
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Aged
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Female
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Humans
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Male
Language:
En
Journal:
Singapore medical journal
Year:
2016
Type:
Article