Document Detail


Acute isolated injury of the posterior cruciate ligament treated by a dynamic anterior drawer brace: a preliminary report.
MedLine Citation:
PMID:  20884975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated the role of a functional brace worn for four months in the treatment of patients with an acute isolated tear of the posterior cruciate ligament to determine whether reduction of the posterior tibial translation during the healing period would give an improved final position of the tibia. The initial and follow-up stability was tested by Rolimeter arthrometry and radiography. The clinical outcome was evaluated using the Lysholm score, the Tegner score and the International Knee Documentation Committee scoring system at follow-up at one and two years. In all, 21 patients were studied, 21 of whom had completed one-year and 17 a two-year follow-up. The initial mean posterior sag (Rolimeter measurement) of 7.1 mm (5 to 10) was significantly reduced after 12 months to a mean of 2.3 mm (0 to 6, p < 0.001) and to a mean of 3.2 mm (2 to 7, p = 0.001) after 24 months. Radiological measurement gave similar results. The mean pre-injury Lysholm score was normal at 98 (95 to 100). At follow-up, a slight decrease in the mean values was observed to 94.0 (79 to 100, p = 0.001) at one year and 94.0 (88 to 100, p = 0.027, at two years). We concluded that the posterior cruciate ligament has an intrinsic healing capacity and, if the posteriorly translated tibia is reduced to a physiological position, it can heal with less attentuation. The applied treatment produces a good to excellent functional result.
Authors:
M Jacobi; N Reischl; P Wahl; E Gautier; R P Jakob
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  92     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2010-11-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1381-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, HFR Fribourg Hôpital Cantonal, Chemin des Pensionnats 2-6, 1708 Fribourg, Switzerland. ortho@mjacobi.ch
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Arthrometry, Articular / methods
Braces* / adverse effects
Female
Follow-Up Studies
Humans
Knee Injuries / physiopathology,  therapy*
Knee Joint / physiopathology
Magnetic Resonance Imaging
Male
Middle Aged
Posterior Cruciate Ligament / injuries*
Prospective Studies
Recovery of Function
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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