Treatment of posterior cruciate avulsion fractures using Burks and Schaffer’s approach: case series of 18 patients with 12-month follow-up
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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.
Level 1 trauma centre, All India Institute of Medical Sciences (AIIMS), New Delhi
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).
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.
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.)
KeywordsPosterior cruciate ligament avulsion injury Surgical technique Rehabilitation Functional outcome Burks and Schaffer’s approach
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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