Treatment of posterior cruciate avulsion fractures using Burks and SchaVer’s approach: case series of 18 patients with 12-month follow-up
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Sudeep Kumar · Kamran Farooque · Vijay Sharma
- چاپ و سال / کشور: 2011
Description
Objectives To report clinical and functional outcomes following Wxation of tibial posterior cruciate ligament (PCL) avulsion fractures through Burks and SchaVer’s approach when combined with a rehabilitation programme, which emphasizes early range of motion. Design Retrospective study Setting Level 1 trauma centre, All India Institute of Medical Sciences (AIIMS), New Delhi Patients From December 2006 to June 2009, 18 cases of PCL tibial avulsion injuries presented to our institution and underwent surgical intervention. Patients were followed up for 10 to 16 months (mean 12 months). Intervention Fixation of tibial PCL avulsion fractures was with one or two 4-mm partially threaded cannulated screw and washer placed through a Burks and SchaVer’s approach. Range of motion was begun on postoperative day 2. Main outcome measurements Range of motion, clinical stability, radiographic appearance, each patient’s overall health-related quality of life (using the musculoskeletal functional assessment tool) and gastrocnemius muscle strength were evaluated at Wnal follow-up. Results Union was achieved in all the cases, and all of them were having clinically stable knee at the time of last follow-up. The average musculoskeletal functional assessment score was 14. (Musculoskeletal functional assessment scores range from 0–100, with higher scores indicating poorer function.)
Eur J Orthop Surg Traumatol DOI 10.1007/s00590-011-0769-y Received: 30 August 2010 / Accepted: 26 January 2011
