PMID- 33423996
OWN - NLM
STAT- MEDLINE
DCOM- 20210524
LR  - 20221207
IS  - 2589-1294 (Electronic)
IS  - 1017-995X (Print)
IS  - 1017-995X (Linking)
VI  - 54
IP  - 6
DP  - 2020 Nov
TI  - Surgical treatment of posterior cruciate ligament tibial avulsion fractures using 
      a locking compression hook plate: A case series.
PG  - 623-626
LID - 10.5152/j.aott.2020.19244 [doi]
AB  - OBJECTIVE: This study aimed to evaluate the results of surgical treatment of 
      tibial avulsion injuries of the posterior cruciate ligament (PCL) with a 3.5-mm 
      locking compression hook plate (LCHP). METHODS: From June 2012 to June 2015, 16 
      consecutive patients (10 males and 6 females, mean age: 38 (range: 19-57) years) 
      presented with isolated tibial avulsion injuries of the PCL. We used a 3.5-mm 
      LCHP and lag screws for open reduction and internal fixation (ORIF) through the 
      posterior medial approach. The operation time, quantity of bleeding, visual 
      analog scale (VAS) scores, stability of posterior drawer test (PDT) results, and 
      fracture healing time were studied to assess clinical efficacy. At the 12-month 
      follow-up, a functional evaluation using knee range of motion (ROM) and the 
      Lysholm knee scoring system (LKSS) was performed. RESULTS: The data from a mean 
      follow-up of 24.1 (range: 14-33) months from 16 patients were recorded. No 
      neurovascular complications, incision infections, or delayed union or nonunion 
      were observed. The mean operation time was 61.4 (range: 45-80) min. The mean 
      quantity of bleeding was 41.6 (range: 25-66) mL. The mean bone healing time was 
      11.8 (range: 45-80) weeks. The mean VAS score was 1.63 (range: 0-3) after 
      surgery. The average LKSS and ROM of the knee were 51.75+/-7.67 and 50.94 degrees +/-10.19 degrees  
      before surgery and 92.75+/-5.46 and 127.75 degrees +/-6.13 degrees  at 1 year, respectively. The 
      outcomes were judged to be excellent for 11 patients, good for 4, and fair for 1 
      (excellent and good rates: 93.8% for 15/16). At the final follow-up (>/=1 year), 
      the PDT scores returned to normal. CONCLUSION: The results showed that 3.5-mm 
      LCHP provided reliable fixation following ORIF of isolated PCL tibial avulsion 
      fractures and was a safe, simple, and effective procedure. This procedure may 
      reduce complications and improve functional recovery relative to those of other 
      procedures. TRIAL REGISTRATION: Chinese Clinical Trial Registry, 
      ChiCTR-1900022920. Registered on 3 May 2019. LEVEL OF EVIDENCE: Level IV, 
      Therapeutic study.
FAU - Deng, Wei
AU  - Deng W
AD  - Clinic of Orthopedics, Chengdu Shangjin Nanfu Hospital, Chengdu, China;Department 
      of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.
FAU - Li, Yaxing
AU  - Li Y
AD  - Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 
      China.
FAU - Wu, Shizhou
AU  - Wu S
AD  - Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 
      China.
FAU - Liu, Xi
AU  - Liu X
AD  - Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 
      China.
FAU - Huang, Fuguo
AU  - Huang F
AD  - Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 
      China.
FAU - Zhang, Hui
AU  - Zhang H
AD  - Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 
      China.
LA  - eng
PT  - Journal Article
PL  - Turkey
TA  - Acta Orthop Traumatol Turc
JT  - Acta orthopaedica et traumatologica turcica
JID - 9424806
SB  - IM
MH  - Adult
MH  - Bone Plates
MH  - Female
MH  - *Fracture Fixation, Internal/instrumentation/methods
MH  - Fractures, Avulsion/*surgery
MH  - Humans
MH  - *Knee Joint/physiopathology/surgery
MH  - Male
MH  - Posterior Cruciate Ligament/*surgery
MH  - Range of Motion, Articular
MH  - Plastic Surgery Procedures/methods
MH  - Recovery of Function
MH  - Retrospective Studies
MH  - Tibia/surgery
MH  - Tibial Fractures/*surgery
MH  - Treatment Outcome
PMC - PMC7815219
COIS- Conflict of Interest: The authors have no conflicts of interest to declare.
EDAT- 2021/01/12 06:00
MHDA- 2021/05/25 06:00
PMCR- 2020/11/01
CRDT- 2021/01/11 05:28
PHST- 2021/01/11 05:28 [entrez]
PHST- 2021/01/12 06:00 [pubmed]
PHST- 2021/05/25 06:00 [medline]
PHST- 2020/11/01 00:00 [pmc-release]
AID - aott-54-6-623 [pii]
AID - 10.5152/j.aott.2020.19244 [doi]
PST - ppublish
SO  - Acta Orthop Traumatol Turc. 2020 Nov;54(6):623-626. doi: 
      10.5152/j.aott.2020.19244.