Functional outcome of bony PCL avulsions fixed with Mini open technique
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Introduction: To evaluate the functional outcome in bony Posterior Cruciate Ligament (PCL) avulsion fractures treated with open reduction and internal fixation through Mini open technique. The approach is safe, and simple with a slight modification and technical tips. Material and Methods: Twenty four patients (19 males and 5 females) were included in the study. Fixation was done through a modified mini open technique using 4 mm cannulated cancellous screws. The minimum follow up considered in study was one year. Functional outcome was assessed using clinical examination, Tegner Lysholm knee score and stress radiography. Results: The mean Tegner Lysholm scores at the time of 1 year follow up was 91.66. The PCL laxity assessed clinically by posterior drawer test on stress radiography was grade I in 3 cases and nil in rest of 21 at 8 weeks follow-up. All the patients had achieved bony union of tibial avulsion fractures at the time of last follow up. Conclusion: Bony PCL avulsion fractures treated by Mini open technique with open reduction and internal fixation achieved good to excellent results and can prevent significant late onset disability.
Authors and Affiliations
Milind V Ingle, Abhishek P Bhalotia, Vijasing Chandele, Shrikant Gade, Maroti R Koichade
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