지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 210 - 216 (7page)
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초록· 키워드
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Purpose: The posterior cruciate ligament (PCL) presents commonly with avulsion fractures of its tibial attachment. An avulsion fracture of the PCL, if not surgically fixed, may lead to secondary changes in the knee joint. Various fixation techniques have been explored with use of lag screws, steel wires, absorbable screws, suture anchors and straddle nails. The purpose of this study was to evaluate the clinical and functional outcome of open reduction and internal fixation of tibial avulsion injuries of the PCL using cannulated cancellous screws.Materials and Methods: We performed open reduction and internal fixation using cannulated cancellous screws in 14 patients (mean age, 33.9 years) with isolated PCL avulsion injuries. Patients with a duration of injury more than 12 weeks were excluded. The minimum followup period was 12 months. Results were assessed radiologically and clinically. Final functional outcome was assessed using the Lysholm knee scoring system.Results: The average followup period was 13.5 months. At the final followup, all 14 patients achieved fracture union. The average flexion was 121.7°±9.2° with full extension achieved in all patients. Mild instability (1+) was noted in 4 patients. The Lysholm functional score was excellent in 11 patients, good in 2 patients and fair in 1 patient with an average score of 97±7.6.Conclusions: Stable early fixation for PCL avulsion injuries with early controlled mobilization provided excellent to good results. However, fixation should not be discouraged for latepresenting patients because good to fair results can be achieved in such cases.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Abbott LC / 1945 / Surgical approaches to the knee joint / J Bone Joint Surgery 27 : 277 ~ 310
Allen CR / 2002 / Posterior cruciate ligament injuries / Curr Opin Rheumatol 14 : 142 ~ 149
Bali K / 2012 / Open reduction and internal fixation of isolated PCL fossa avulsion fractures / Knee Surg Sports Traumatol Arthrosc 20 : 315 ~ 321
Burks RT / 1990 / A simplified approach to the tibial attachment of the posterior cruciate ligament / Clin Orthop Relat Res (254) : 216 ~ 219
Chen CH / 1999 / Fixation of small tibial avulsion fracture of the posterior cruciate ligament using the double bundles pull-through suture method / J Trauma 46 : 1036 ~ 1038
Allen CR / 2002 / Posterior cruciate ligament injuries / Curr Opin Rheumatol 14 : 142 ~ 149
Bali K / 2012 / Open reduction and internal fixation of isolated PCL fossa avulsion fractures / Knee Surg Sports Traumatol Arthrosc 20 : 315 ~ 321
Burks RT / 1990 / A simplified approach to the tibial attachment of the posterior cruciate ligament / Clin Orthop Relat Res (254) : 216 ~ 219
Chen CH / 1999 / Fixation of small tibial avulsion fracture of the posterior cruciate ligament using the double bundles pull-through suture method / J Trauma 46 : 1036 ~ 1038
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