Hashemi Seyyed Abbas, Salehi Navid, Azarifar Faeze, Jahanshahi Arman, Mohammadi Hamidreza
Department of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Orthopedics, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Open Access Maced J Med Sci. 2019 Mar 28;7(6):982-986. doi: 10.3889/oamjms.2019.185. eCollection 2019 Mar 30.
The posterior cruciate ligament is one of the important tissues and structures sustaining the knee joint, and its rupture or detachment may lead to joint instability or destruction.
The present study aimed at investigating the Open Reduction and Internal Fixation surgery of posterior cruciate ligament and comparing it to the normal knee of the same side.
In this study, 25 patients with avulsion fracture at the PCL joint were treated with open surgery and screw fixation. The patients were followed up by Lysholm knee score for at least 12 months after surgery.
All patients were male with an average age of 25 years over the years 2010-2018. The common mechanism of injury in these patients was motorcycle-car accident. In the study with Lysholm knee score, 21 patients (80%) obtained the good score of 60-90 while 20% of patients were placed in the fair group (30-59). The average score was 86.
The obtained score of knee function questionnaire in this study had no significant difference from other similar studies, and most patients achieved a good and acceptable score after the surgery. There was no knee instability and functional impairment in the patients compared to the normal knee. Considering the clinical results after the fixation of the PCL avulsion fracture causing a significant improvement in patients, the surgery could be considered as an acceptable and effective method for treating such impairment and fracture.
后交叉韧带是维持膝关节的重要组织和结构之一，其断裂或分离可能导致关节不稳定或破坏。
本研究旨在探讨后交叉韧带切开复位内固定手术，并将其与同侧正常膝关节进行比较。
本研究中，25例后交叉韧带关节撕脱骨折患者接受了开放手术和螺钉固定治疗。术后采用Lysholm膝关节评分对患者进行至少12个月的随访。
所有患者均为男性，在2010年至2018年期间平均年龄为25岁。这些患者常见的受伤机制是摩托车与汽车相撞事故。在Lysholm膝关节评分研究中，21例（80%）患者获得了60 - 90的良好评分，而20%的患者被归入中等组（30 - 59）。平均评分为86分。
本研究中获得的膝关节功能问卷评分与其他类似研究无显著差异，大多数患者术后获得了良好且可接受的评分。与正常膝关节相比，患者没有膝关节不稳定和功能障碍。考虑到后交叉韧带撕脱骨折固定后的临床结果使患者有显著改善，该手术可被视为治疗此类损伤和骨折的一种可接受且有效的方法。
