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Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
Published on: October 20, 2023
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Posterior Cruciate Ligament Avulsion Fractures.
Anna Katsman1, Eric J Strauss1, Kirk A Campbell1
1Department of Orthopaedic Surgery, NYU Langone Medical Center, New York, NY, USA.
Current Reviews in Musculoskeletal Medicine
|June 6, 2018
Summary
Displaced posterior cruciate ligament (PCL) avulsion fractures, though rare, generally require operative fixation. Studies indicate excellent surgical outcomes with low complication rates for PCL avulsion fracture repair.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Posterior cruciate ligament (PCL) avulsion fractures are uncommon knee injuries.
- These injuries often occur as part of a larger multi-ligamentous knee trauma.
Purpose of the Study:
- To review the epidemiology and diagnostic workup of PCL avulsion fractures.
- To outline indications for nonoperative and operative management.
- To examine surgical outcomes and present a preferred management algorithm.
Main Methods:
- Literature review of studies on PCL avulsion fractures.
- Analysis of epidemiological data and treatment outcomes.
- Synthesis of current evidence to formulate a management strategy.
Main Results:
- The literature on surgical outcomes for PCL avulsion fractures is limited due to their rarity.
- Displaced PCL avulsion fractures are typically managed operatively.
- Both open and arthroscopic fixation techniques show excellent outcomes with low complication rates.
Conclusions:
- Operative fixation is recommended for displaced PCL avulsion fractures.
- Current evidence supports successful surgical management with a low risk of complications.
- A clear management algorithm can guide treatment decisions for these rare injuries.
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