Batley Morgan G, Chaclas Nathan, Ashe Katherine, Kim Caroline L, Ganley Theodore J, Maguire Kathleen J, Williams Brendan A
Department of Orthopaedics The Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.
J Exp Orthop. 2025 Sep 11;12(3):e70421. doi: 10.1002/jeo2.70421. eCollection 2025 Jul.
The purpose of this study was to evaluate the injury characteristics, treatment, and outcome of paediatric patients with isolated posterior cruciate ligament (PCL) injuries treated at a single center. Authors hypothesised that both treatment cohorts would successfully return to sport participation with a low risk of PCL retear or ongoing knee-related symptoms.
A retrospective review and cross-sectional outcomes assessment were performed identifying patients <18 years old with PCL injuries from a single treatment center between 2015 to 2021 using ICD-10 coding. Patients with concomitant collateral or cruciate ligament injury were excluded. Studied variables included patient demographics, injury characteristics, treatment strategies, and patient outcomes (PROMIS, IKDC and Lysholm scores and reinjury). A cross-sectional follow-up survey was distributed to all patients in spring 2023. Descriptive statistics were performed for continuous and categorical outcomes. Bivariate analyses were performed on all variables between operative and nonoperative treatment groups. A non-response analysis was completed to evaluate non-response bias of the cross-sectional cohort due to the incomplete response rate.
Twenty-four patients meeting inclusion criteria were identified. Injured patients had a mean age of 13.2 years old and were predominantly male (67%). Injuries most occurred during sport participation (75%) and were managed nonoperatively (67%). Overall, there were no differences between treatment groups regarding complications or return to sport. Eleven (46%) completed the cross-sectional outcomes assessment at an average of 4.7 years from injury. Most patients had successfully returned to sport without sustaining an ipsilateral knee injury with patient reported outcome scores within normative ranges.
These results suggest that both operative and non-operative treatment strategies are reasonable in the short- and long-term management of paediatric PCL injuries.
Level IV.
本研究旨在评估在单一中心接受治疗的孤立性后交叉韧带（PCL）损伤的儿科患者的损伤特征、治疗方法及预后。作者假设两个治疗队列的患者都能成功恢复运动参与，且PCL再次撕裂或持续存在膝关节相关症状的风险较低。
采用ICD-10编码，对2015年至2021年间来自单一治疗中心的18岁以下PCL损伤患者进行回顾性研究和横断面结局评估。排除伴有侧副韧带或交叉韧带损伤的患者。研究变量包括患者人口统计学资料、损伤特征、治疗策略及患者结局（PROMIS、IKDC和Lysholm评分以及再损伤情况）。2023年春季对所有患者进行了横断面随访调查。对连续性和分类结局进行描述性统计。对手术治疗组和非手术治疗组的所有变量进行双变量分析。完成了一项无应答分析，以评估由于应答率不完整导致的横断面队列的无应答偏倚。
确定了24例符合纳入标准的患者。受伤患者的平均年龄为13.2岁，男性占主导（67%）。损伤大多发生在运动参与期间（75%），且采用非手术治疗（67%）。总体而言，治疗组在并发症或恢复运动方面没有差异。11例（46%）患者在受伤平均4.7年后完成了横断面结局评估。大多数患者已成功恢复运动，未出现同侧膝关节损伤，患者报告的结局评分在正常范围内。
这些结果表明，手术和非手术治疗策略在儿科PCL损伤的短期和长期管理中都是合理的。
IV级。
