Department of Orthopaedic Surgery, MountainView Regional Medical Center, Las Cruces, New Mexico.
Department of Orthopaedic Surgery, Larkin Community Hospital, South Miami, Florida.
JBJS Case Connect. 2021 Jul 28;11(3):01709767-202109000-00044. doi: e20.00618.
A 30-year-old man was in a motorcycle accident resulting in an avulsion fracture of the tibial insertion of the posterior cruciate ligament (PCL). After 19 months of nonoperative treatment, the patient presented with a nonunion and symptoms of pain and instability. He was treated with an open repair with screw fixation through a posterior approach. Six months postoperatively, the patient returned to his work as a heavy laborer with full range of motion and no instability.
PCL avulsion fracture nonunion results in symptoms of swelling, pain, and instability. These symptoms can be treated with screw fixation through a posterior approach.
一名 30 岁男性因摩托车事故导致后交叉韧带（PCL）胫骨止点撕脱骨折。经过 19 个月的非手术治疗，患者出现骨不连和疼痛及不稳定症状。采用后路切开复位螺钉固定进行开放性修复。术后 6 个月，患者返回重体力劳动者的工作岗位，活动度完全正常且无不稳定。
PCL 撕脱骨折不愈合会导致肿胀、疼痛和不稳定等症状。这些症状可以通过后路切开复位螺钉固定进行治疗。
