| خلاصه مقاله | Title: Prone and direct posterior approach for management of posterior cruciate ligament avulsion fractures
Introduction: Although posteromedial approaches are available for PCL tibial avulsion fractures, in some cases, they are not ideal for providing maximum visualization, easy reduction, and application of fixation implants that offer optimal mechanical stability and PCL tissue repair. This study aimed to evaluate outcomes of the direct posterior approach for reduction and fixation of tibial PCL avulsion fractures with suturing.
Materials and Methods: Between March 2019 and April 2022, 32 PCL avulsion fractures were operated on via the direct posterior approach in the prone position (mean age: 28.9 years). Post-fixation, the PCL tissue end was sutured to the fixation site. Minimum follow-up was 18 months. Outcomes were assessed radiologically and clinically, with functional results evaluated using the Lysholm knee score.
Results: All patients achieved bony union without secondary displacement by the last follow-up. Mean knee flexion was 135° (range: 129–145°) with full extension in all cases. PDT was positive in 5 patients (15%: 4 grade I, 1 grade II). Mean Lysholm score was 93 (range: 87–100). No neurovascular, hardware-related complications, or deep vein thrombosis occurred.
Conclusion: The prone direct posterior approach for tibial PCL avulsions offers significant advantages in achieving proper reduction and stable fixation, yielding excellent functional outcomes. |