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Outcomes of posterior cruciate ligament tibial avulsion treated with staple fixation: stress TELOS X-ray evaluation

  • M. M. Reverte-Vinaixa
  • J. H. NuñezEmail author
  • D. Muñeton
  • N. Joshi
  • E. Castellet
  • J. Minguell
Original Article • KNEE - FRACTURES
  • 65 Downloads

Abstract

Purpose

Tibial-side avulsion injuries of the posterior cruciate ligament are rare injuries. In displaced fracture, the reduction and fixation is the treatment of choice, although the optimal surgical management has not yet been determined. The aim of this study was to evaluate the clinical, functional, and radiological outcome after an open reduction and internal fixation with staples of a posterior cruciate ligament tibial avulsion.

Methods

A historical cohort of patients who underwent open reduction and internal fixation with staple due to a posterior cruciate ligament tibial avulsion were reviewed. Minimum follow-up was 2 years. Demographic, clinical, and radiological data, including stress X-ray, were analyzed. Also, International Knee Documentation Committee Score, Tegner Knee Score, Lysholm Knee Score, Short-Form Health Survey, and four-point Likert scale were evaluated.

Results

Four males (57%) and 3 females (43%) were included in the final analysis. The mean age was 39 years (range 27–54). All patients had a fracture union. No implant migration was observed. Postoperative posterior drawer, reverse pivot shift, and varus/valgus stress were negative. In stress TELOS X-ray, no statistically significant differences were observed between the postoperative and contralateral knee. All evaluated scores had good or excellent results.

Conclusions

Our study provides further evidence that the use of an open reduction and internal fixation with a staple could be a simple and reliable management for posterior cruciate ligament avulsion fractures of the tibia. In our study, the postoperative stress TELOS X-ray analyze showed a correct fixation and biomechanical function of the posterior cruciate ligament.

Keywords

Knee Posterior cruciate ligament Fracture Internal fixation Staple 

Notes

Compliance with ethical standards

Conflict of interest

No conflicts of interest were declared by the authors.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Knee Unit, Department of Traumatology and Orthopaedic Surgery, University Hospital of Vall d’HebronUniversitat Autónoma de BarcelonaBarcelonaSpain
  2. 2.Knee and Spine Unit, Department of Traumatology and Orthopedic SurgeryUniversity Hospital of Mutua TerrasaTerrassaSpain
  3. 3.Knee Unit, Department of Traumatology and Orthopaedic SurgerySan Rafael HospitalBarcelonaSpain

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