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Treatment of posterior cruciate avulsion fractures using Burks and Schaffer’s approach: case series of 18 patients with 12-month follow-up

  • Sudeep KumarEmail author
  • Kamran Farooque
  • Vijay Sharma
Original Article

Abstract

Objectives

To report clinical and functional outcomes following fixation of tibial posterior cruciate ligament (PCL) avulsion fractures through Burks and Schaffer’s approach when combined with a rehabilitation programme, which emphasizes early range of motion.

Design

Retrospective study

Setting

Level 1 trauma centre, All India Institute of Medical Sciences (AIIMS), New Delhi

Patients

From December 2006 to June 2009, 18 cases of PCL tibial avulsion injuries presented to our institution and underwent surgical intervention. Patients were followed up for 10 to 16 months (mean 12 months).

Intervention

Fixation of tibial PCL avulsion fractures was with one or two 4-mm partially threaded cannulated screw and washer placed through a Burks and Schaffer’s approach. Range of motion was begun on postoperative day 2.

Main outcome measurements

Range of motion, clinical stability, radiographic appearance, each patient’s overall health-related quality of life (using the musculoskeletal functional assessment tool) and gastrocnemius muscle strength were evaluated at final follow-up.

Results

Union was achieved in all the cases, and all of them were having clinically stable knee at the time of last follow-up. The average musculoskeletal functional assessment score was 14. (Musculoskeletal functional assessment scores range from 0–100, with higher scores indicating poorer function.)

Keywords

Posterior cruciate ligament avulsion injury Surgical technique Rehabilitation Functional outcome Burks and Schaffer’s approach 

Notes

Conflict of interest

No funds were received in support of this study. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of Orthopaedics, HIHTHimalayan Institute of Medical SciencesDehradunIndia
  2. 2.Department of Orthopaedics, JPNA Trauma CentreAll India Institute of Medical Sciences (AIIMS)New DelhiIndia

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