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ORIGINAL ARTICLE
Year : 2019  |  Volume : 32  |  Issue : 2  |  Page : 646-649

Fixation of acute posterior cruciate ligament avulsion fracture from tibial insertion by cannulated screws


Department of Orthopedics Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Islam M Hamdan
Department of Orthopedics Surgery, Faculty of Medicine, Menoufia University, Menoufia 32511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_789_17

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Objective The aim of the study was to evaluate the efficacy of fixation of the acute posterior cruciate ligament (PCL) avulsion fracture from tibial insertion by cannulated screws in Menoufia University Hospitals. Background PCL is the main posterior stabilizer of the knee. Open reduction and internal fixation of the avulsed ligament fragment by screws is recommended. Patients and methods A prospective study of 20 patients with acute PCL avulsion fracture was conducted. All patients were treated by open reduction and internal fixation using cannulated screws. We used a posteromedial approach using an inverted L-shaped approach (Burks Schaffer's approach) at Minoufia University Hospitals. Results All the avulsion fractures achieved union at an average of 10 weeks. Patients were followed up for an average of 8.2 months (range: 6–12 months). Of the 20 patients included in the study, Lysholm score improved from poor in all patients to excellent in 14 (70%) patients and good in six (30%) patients. Conclusion Open reduction and internal fixation of acute PCL avulsion fracture from tibial insertion with cannulated screws is an excellent technique and gives excellent Lysholm score.


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