Outcome of Isolated Chronic PCL Avulsion Fractures Treated with Cancellous Screw Fixation

Dr.Rajat Jangir; Dr.Mohit Kumar; Dr.Ravi Mittal

Volume : VI, Issue : XII, December - 2017

Outcome of Isolated Chronic PCL Avulsion Fractures Treated with Cancellous Screw Fixation

Dr. Rajat Jangir, Dr. Mohit Kumar, Dr. Ravi Mittal

Abstract :

PURPOSE:

The most efficient treatment of chronic posterior cruciate ligament (PCL) avulsion is still debatable. The study was aimed at management of posterior cruciate ligament (PCL) avulsion fractures with delayed presentation more than 3 weeks with open reduction and internal fixation (ORIF). This study also evaluated the effect of delay in treatment and presence of occult PCL injury on the final outcome after surgery.

METHODS:

15 patients (12 males and 3 females) with a median age of 28 years (range: 19-45 years) who underwent ORIF through Burks posterior approach for PCL avulsion fractures were studied after a median follow up of 18 months (range 12-42 months). All the patient included in the study had delayed presentation minimum 3 weeks after injury (3 weeks to 6 months). Patients were assessed using Lysholm questionnaire, physical examination and radiological examination. For the statistical analysis, a significance level of 0.10 and 95% confidence interval were used.

RESULTS:

The results were fair or good in patients with open reduction and cancellous screw fixation of PCL avulsion injury with delayed presentation and these results were found to be statistically significant.

CONCLUSION:

The management of tibial chronic (delayed presentation) PCL avulsion fractures with the use of a cancellous lag screw and a washer by means of the posterior Burks approach leads to satisfactory clinical, radiographic, and functional results.