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  • Title: [Arthroscopically assisted treatment of acute tibial insertion avulsion fracture of posterior cruciate ligament via posteromedial incision].
    Author: Liu J, Deng B, Huang G, Pan X, Deng S, Liao D, Li W.
    Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2013 May; 27(5):591-3. PubMed ID: 23879098.
    Abstract:
    OBJECTIVE: To investigate the effectiveness of arthroscopically assisted treatment of acute tibial insertion avulsion fracture of the posterior cruciate ligament (PCL) via posteromedial incision. METHODS: Between January 2010 and January 2012, 22 patients with acute tibial insertion avulsion of the PCL underwent arthroscopic reduction and fixation via posteromedial incision. There were 14 males and 8 females with an average age of 32 years (range, 18-48 years). The injury causes included traffic accident injury in 14 cases, sport injury in 4 cases, and falling injury in 4 cases. The disease duration ranged from 7 to 16 days (mean, 10 days). Of 22 patient, 14 had simple PCL injury, 6 had PCL injury with meniscus injury, and 2 with cartilage injury. The results of posterior drawer test were positive in all patients. The preoperative Lysholm score was 51.1 +/-3.4. RESULTS: All incisions healed by first intention without infection, deep venous thrombosis of lower limbs, or vessel and nerve injuries. All patients were followed up 12-24 months (mean, 18.4 months). X-ray films showed that all fractures healed with the healing time of 2-4 months (mean, 3 months). The Lysholm score was improved to 96.0 +/-2.2 at 6 months after operation, showing significant difference when compared with preoperative score (t=43.020, P=0.000). CONCLUSION: Arthroscopically assisted treatment of acute tibial insertion avulsion fracture of the PCL via posteromedial incision is a safe, easy, and effective method.
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