Short Term Outcome of Fixation of Isolated Avulsion Fractures of Posterior Cruciate Ligament; Case Series
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2017, Vol 29, Issue 03
Abstract
Objective: To evaluate the outcome of isolated posterior cruciate ligament avulsion injuries after open reduction and screw fixation in our setup. Methods: This was a prospective observational cross sectional study conducted during January 2012 to July 2015. Performa was made which comprises of bio-data, mechanism of injury, pre-operative x-rays, MRI, classification and physical examination. Patients who had isolated posterior cruciate ligament avulsion injury with bony fragment of around 1cm, they underwent open reduction and screw fixation included in this study. Short-term outcome assessment was carried out at 6 months in terms of stability, range of motion achieved using Lysholm knee scores. Patient between 20-35 years of age included in the study. All patient underwent fixation through 4.5 cannulated screw along with washer. Results: There were total 5 patients who presented with isolated PCL injuries. Motor vehicle trauma was found in 4 patients and 1 patient had sports related injury. Type III fractures were found in 4 patients and while the remaining 1 patient had type II fracture. Postoperatively all the patients had improved posterior drawer test, and radiological examination showed complete healing. There were no wound infections and 1 patient developed hypertrophic scar and 3 patients developed knee swelling which was resolved with compression bandages and continuous physiotherapy. Conclusions: Early operative intervention of isolated posterior cruciate ligament avulsion fractures achieves better stability and optimal results with few complications. Further studies are warranted in this regard.
Authors and Affiliations
NaveedKhan,AsifPeracha,ImranKhan,OsamaBinZia,FaizanIqbal,ShahjahanSiyal
Keywords
Related Articles
- EP ID EP741729
- DOI -
- Views 24
- Downloads 0
Is Medial Approach better than posterior approach for open Reduction & Internal Fixation of Supracondylar Fractures of Humerus in Children?
Objectives: The aim of this study is to find that whether the medial surgical approach is beneficial to patients in term of radiological and functional outcome as compared to posterior approach for open reduction & inter...
Frequency of Achilles Tenotomy in Patients with Congenital Talipes Equinovarus (CTEV) Treated with Ponseti Technique.
Objective: To determine the frequency of Achilles tenotomy in patients with Congenital Talipes Equinovarus (CTEV) treated with Ponseti serial castings. Methods: This descriptive study was conducted in department of Or...
Postoperative Changes and Outcomes in Intaoperative Neurophysiological Monitoring in Scoliosis Surgery
Objective: To evaluate the advantages of combined motor and sensory evoked potential monitoring during scoliosis surgery. Methods: We performed and analyzed the records of 107 (83 Female (77.5%) and 24 male (22.4%) Sc...
Comparative Study of Treatment of Adhesive Capsulitis of Shoulder: Corticosteroid Versus Corticosteroid with Hydro Distension
Objective: To compare the effectiveness of Intra-articular corticosteroid versus intra-articular corticosteroid with hydro-distension. Methods: This randomized control trial study was conducted January 2014 to Decembe...
Comparison of Closed Versus Open Interlocking Nail Femur: A Retrospective Cohort Study in a Tertiary Care Hospital
Objective: To compare the results of closed interlocking nail shaft of femur versus open interlocking nail in terms of union, non-union and infection rate. Methods: We conducted this retrospective Cohort study in Depa...