Talebian Parham, Aref Daneshi S, Soleimani Mohammad
Orthopedic Surgery Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Ann Med Surg (Lond). 2023 Mar 9;85(3):545-549. doi: 10.1097/MS9.0000000000000265. eCollection 2023 Mar.
Posterior cruciate ligament bony avulsion is one of the well-known knee injuries, which includes about 3-20% of knee ligament injuries. Failure to properly treat this injury causes instability in the knee. Although various surgical approaches have been introduced for this injury, there is controversy regarding selecting the suitable method under certain conditions.
In this study, as well as introducing our new surgical technique, we reported the treatment results of our patients who underwent surgery between April 2021 and June 2022. In this approach, in a short time with about 5 cm incisions, we can directly access the fracture site and directly fix the fracture with minimal tissue damage.
Results of this study showed that the operating time was about 24.2 min on average. And in the 6-month follow-up results of our patients, no complications were reported, while the results stipulate a complete recovery of knee pain, range of motion, and stability in examinations.
Apparently, the direct posterior approach to posterior cruciate ligament bony avulsion fractures is a safe method with minimal complications and suitable treatment results for patients.
后交叉韧带骨撕脱是一种常见的膝关节损伤，约占膝关节韧带损伤的3% - 20%。未能正确治疗该损伤会导致膝关节不稳定。尽管针对这种损伤已经引入了各种手术方法，但在某些情况下选择合适的方法仍存在争议。
在本研究中，我们介绍了一种新的手术技术，并报告了2021年4月至2022年6月期间接受手术的患者的治疗结果。在这种方法中，通过约5厘米的切口，我们可以在短时间内直接到达骨折部位，并以最小的组织损伤直接固定骨折。
本研究结果显示，平均手术时间约为24.2分钟。在患者的6个月随访结果中，未报告并发症，同时结果表明膝关节疼痛、活动范围和检查中的稳定性完全恢复。
显然，后交叉韧带骨撕脱骨折的直接后路手术方法是一种安全的方法，并发症最少，对患者有合适的治疗效果。
