Posterior Cruciate Ligament Tibial Avulsion treated with Open Reduction and Internal Fixation through the Burks and Schaffer Approach
Posterior Cruciate Ligament Tibial Avulsion treated with Open Reduction and Internal Fixation through the Burks and Schaffer Approach
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DOI：
10.5704/moj.1507.004
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发表时间：
2015-07-01
影响因子：
0.7
通讯作者：
Farooque, K.
中科院分区：
文献类型：
--
作者：
Khatri, K.;Sharma, V;Farooque, K.
目的：报告经Burks和Schaffer入路切开复位内固定治疗后交叉韧带（PCL）胫骨撕脱骨折的功能结局。患者的具体功能结果的措施，如IKDC分级与客观分级与应力X线片很少被用来评估PCL胫骨撕脱fractions.Material和方法：27例患者（21名男性和6名女性）被列入本研究。平均随访时间为22.30 ± 6.82个月。采用国际膝关节文献委员会（IKDC）分级、Lysholm评分和应力X线片进行评估。损伤严重度评分（ISS）的患者也recorded.Results：平均Lysholm评分在最后一次随访时为90.85 +/- 5.58。20例患者的IKDC分级正常，5例接近正常，2例异常。主动腘绳肌收缩应力X线片确定的PCL松弛度为I级20例，II级7例。末次随访时，所有患者胫骨撕脱骨折均骨性愈合。较高的ISS和较低的Lysholm评分之间存在统计学显著相关性。（t=3.455，p=0.0019）。良好的IKDC分级与较高的Lysholm评分相关（方差分析，F=32.51，p
Objective: To report functional outcome in Posterior Cruciate Ligament (PCL) tibial avulsion fractures treated with open reduction and internal fixation through Burks and Schaffer approach. The patient specific functional outcome measures like IKDC grading together with objective grading with stress radiographs have rarely been used - to assess PCL tibial avulsion fractures.Material and Methods: Twenty seven patients (21 males and 6 females) were included in the study. The mean follow up duration was 22.30 +/- 6.82 months. They were assessed using international knee documentation committee (IKDC) grades, Lysholm scoring and stress radiography. The injury severity scores (ISS) of the patients were also recorded.Results: The mean Lysholm scores at the time of last follow up was 90.85 +/- 5.58. The IKDC grades achieved were normal in 20 patients, near normal in five and abnormal in two. The PCL laxity determined on active hamstring contraction stress radiography was grade I in 20 cases and grade II in seven cases. All patients had achieved bony union of tibial avulsion fractures at the time of last follow up. Statistically significant association was found between higher ISS and lower Lysholm scores. (t=3.455, p=0.0019). Good IKDC grades were associated with higher Lysholm scores (analysis of variance, F=32.51, p