A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study
Abstract Background Posterior cruciate ligament (PCL) avulsion fracture of the tibia is an uncommon but serious complication during primary cruciate-retaining total knee arthroplasty (TKA). The first objective of this report was to conduct a retrospective cohort study to investigate the incidence an...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01810-7 |
| _version_ | 1798041389529825280 |
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| author | Wei Lin Jinghui Niu Yike Dai Huaxing Zhang Jing Zhu Fei Wang |
| author_facet | Wei Lin Jinghui Niu Yike Dai Huaxing Zhang Jing Zhu Fei Wang |
| author_sort | Wei Lin |
| collection | DOAJ |
| description | Abstract Background Posterior cruciate ligament (PCL) avulsion fracture of the tibia is an uncommon but serious complication during primary cruciate-retaining total knee arthroplasty (TKA). The first objective of this report was to conduct a retrospective cohort study to investigate the incidence and potential risk factors of PCL avulsion fracture in primary cruciate-retaining TKA. The second objective was to assess the functional outcomes of the knee after reduction of PCL avulsion fracture. Methods From January 2014 to January 2016, 56 patients who experienced PCL avulsion fracture of the tibia in primary cruciate-retaining TKA were included in the study group. Patients in this group underwent reduction of avulsion fracture. In this period, we selected 224 patients (control group) for comparison. Patients in this group also underwent the same TKA, but no PCL avulsion fracture occurred. The range of motion of the knee and Knee Society Scores were assessed. The Forgotten Joint Score was used to analyze the ability to forget the joint. Differences were considered statistically significant at p < 0.05. Results In our series, the incidence of PCL avulsion fracture was 4.6%. There were no significant differences (p > 0.05) with regard to the preoperative or postoperative range of motion of the knee, final 4-year mean clinical score in the study and control groups 92.4 ± 2.7 and 93.6 ± 1.9, respectively, and mean functional scores of 85.1 ± 1.8 and 87.1 ± 1.2, respectively. Conclusions The incidence of PCL avulsion fracture of the tibia is relatively high. Older age and female gender were the two risk factors of fracture in primary cruciate-retaining TKA. Reduction of PCL avulsion fracture with a high-strength line can achieve good stability and function of the knee. |
| first_indexed | 2024-04-11T22:20:51Z |
| format | Article |
| id | doaj.art-452590f13f1148b6bea079005cd270fb |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T22:20:51Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-452590f13f1148b6bea079005cd270fb2022-12-22T04:00:08ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-07-011511610.1186/s13018-020-01810-7A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison studyWei Lin0Jinghui Niu1Yike Dai2Huaxing Zhang3Jing Zhu4Fei Wang5Third Hospital of Hebei Medical UniversityThird Hospital of Hebei Medical UniversityThird Hospital of Hebei Medical UniversityHebei General HospitalHebei General HospitalThird Hospital of Hebei Medical UniversityAbstract Background Posterior cruciate ligament (PCL) avulsion fracture of the tibia is an uncommon but serious complication during primary cruciate-retaining total knee arthroplasty (TKA). The first objective of this report was to conduct a retrospective cohort study to investigate the incidence and potential risk factors of PCL avulsion fracture in primary cruciate-retaining TKA. The second objective was to assess the functional outcomes of the knee after reduction of PCL avulsion fracture. Methods From January 2014 to January 2016, 56 patients who experienced PCL avulsion fracture of the tibia in primary cruciate-retaining TKA were included in the study group. Patients in this group underwent reduction of avulsion fracture. In this period, we selected 224 patients (control group) for comparison. Patients in this group also underwent the same TKA, but no PCL avulsion fracture occurred. The range of motion of the knee and Knee Society Scores were assessed. The Forgotten Joint Score was used to analyze the ability to forget the joint. Differences were considered statistically significant at p < 0.05. Results In our series, the incidence of PCL avulsion fracture was 4.6%. There were no significant differences (p > 0.05) with regard to the preoperative or postoperative range of motion of the knee, final 4-year mean clinical score in the study and control groups 92.4 ± 2.7 and 93.6 ± 1.9, respectively, and mean functional scores of 85.1 ± 1.8 and 87.1 ± 1.2, respectively. Conclusions The incidence of PCL avulsion fracture of the tibia is relatively high. Older age and female gender were the two risk factors of fracture in primary cruciate-retaining TKA. Reduction of PCL avulsion fracture with a high-strength line can achieve good stability and function of the knee.http://link.springer.com/article/10.1186/s13018-020-01810-7Posterior cruciate ligamentAvulsion fractureCruciate-retainingTotal knee arthroplasty |
| spellingShingle | Wei Lin Jinghui Niu Yike Dai Huaxing Zhang Jing Zhu Fei Wang A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study Journal of Orthopaedic Surgery and Research Posterior cruciate ligament Avulsion fracture Cruciate-retaining Total knee arthroplasty |
| title | A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study |
| title_full | A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study |
| title_fullStr | A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study |
| title_full_unstemmed | A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study |
| title_short | A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study |
| title_sort | surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty a comparison study |
| topic | Posterior cruciate ligament Avulsion fracture Cruciate-retaining Total knee arthroplasty |
| url | http://link.springer.com/article/10.1186/s13018-020-01810-7 |
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