Prospective and Retrospective Analysis of Posterior Cruciate Ligament Injuries and Its Management

Rajkumar, R (2019) Prospective and Retrospective Analysis of Posterior Cruciate Ligament Injuries and Its Management. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Posterior cruciate ligament injuries are often overlooked than anterior cruciate ligament injuries. The management of PCL injuries remains a controversy among orthopaedic surgeons. The available literature on PCL injuries are mostly retrospective that includes both isolated & combined ligamentous injuries of the knee. AIM OF THE STUDY: The aim of the study is to analyze the outcome in patients with posterior cruciate ligament injuries and the various factors influencing the outcome in such patients. MATERIALS AND METHODS: The study was a prospective and retrospective one from the period of 2014 to 2018. The inclusion criteria were Posterior cruciate ligament tear, avulsion of the ligament from tibial / femoral attachment, bony avulsion of the ligament from tibial / femoral attachment The exclusion criteria were: Paediatric population, patients with arthritic changes evident in the radiograph of the knee, open injuries, associated fractures of proximal tibia & distal femur. RESULTS: We report 12 cases of PCL injuries, of the 12 cases, two were ligamentous injuries while 10 cases were bony avulsion injuries. The commonest age group was 20-30 yrs. The most common mechanism was fall on a flexed knee. The average no. of days before surgery was 14.75 with a range from 10 to 23. Implants used for fixation were 4 mm cannulated cancellous screws in 9 patients and non absorbable suture in one patient. The mean period of follow up was 21.2 months [range, 8 to 43 months]. The mean lysholm score among avulsion injuries was 89.5 [range, 84 to 95]. CONCLUSION: Many fixation techniques have been reported in the literature, open reduction and internal fixation with partially threaded cannulated cancellous screw is reported to be an excellent technique for avulsion fracture of the PCL. Hence a multicentric trials can overcome this, to define the best treatment option for avulsion injuries.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Prospective, Retrospective Analysis, Posterior Cruciate Ligament Injuries, Management.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 01 Sep 2019 16:02
Last Modified: 01 Sep 2019 16:02

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