Acute isolated injury of the posterior cruciate ligament treated by a dynamic anterior drawer brace: a preliminary report.

Details

Serval ID
serval:BIB_10F6E902D532
Type
Article: article from journal or magazin.
Collection
Publications
Title
Acute isolated injury of the posterior cruciate ligament treated by a dynamic anterior drawer brace: a preliminary report.
Journal
Journal of Bone and Joint Surgery. British Volume
Author(s)
Jacobi M., Reischl N., Wahl P., Gautier E., Jakob R.P.
ISSN
0301-620X (Print)
ISSN-L
0301-620X
Publication state
Published
Issued date
2010
Volume
92
Number
10
Pages
1381-1384
Language
english
Notes
Publication types: Evaluation Studies ; Journal ArticlePublication Status: ppublish
Abstract
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.
Keywords
Acute Disease, Adolescent, Adult, Arthrometry, Articular/methods, Braces/adverse effects, Female, Follow-Up Studies, Humans, Knee Injuries/physiopathology, Knee Injuries/therapy, Knee Joint/physiopathology, Magnetic Resonance Imaging, Male, Middle Aged, Posterior Cruciate Ligament/injuries, Prospective Studies, Recovery of Function, Treatment Outcome, Young Adult
Pubmed
Web of science
Create date
26/11/2012 16:41
Last modification date
20/08/2019 12:38
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