Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear

Background Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation In this paper, we present a case of a 9‐year‐old boy treated by an arthrosc...
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Autor*in:	Xin Zhao [verfasserIn] Shi‐da Kuang [verfasserIn] Chao Su [verfasserIn] Wen‐feng Xiao [verfasserIn] Guang‐hua Lei [verfasserIn] Shu‐guang Gao [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Femoral avulsion fracture Knee injuries Meniscus tear Posterior cruciate ligament

Übergeordnetes Werk:	In: Orthopaedic Surgery - Wiley, 2019, 12(2020), 2, Seite 692-697
Übergeordnetes Werk:	volume:12 ; year:2020 ; number:2 ; pages:692-697

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1111/os.12636

Katalog-ID:	DOAJ016294475

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520			\|a Background Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation In this paper, we present a case of a 9‐year‐old boy treated by an arthroscopic repair technique using two transfemoral tunnels sparing the epiphyseal plate for 8‐shaped suture fixation of femoral avulsion fracture of the PCL and using the Fastfix repair system for a meniscus tear. At 3‐month postoperative, the boy showed satisfactory recovery with a full range of motion of the right knee and normal muscular strength, and no complications were observed after operation. The patient had been followed up for 24 months and his final assessment demonstrated stable painless knee with excellent functional outcome. In view of this, we suggest that the “figure‐of‐eight” suture technique using two transfemoral tunnels sparing the epiphyseal plate can be considered a new choice for the treatment of the PCL femoral attachment avulsion, especially in skeletally immature patients. In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. According to the relevant findings and cases studies, we proposed a new classification named “Xiangya” which might facilitate future clinical decision making.
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allfieldsGer	10.1111/os.12636 doi (DE-627)DOAJ016294475 (DE-599)DOAJ63c3ed696f97460b883c95232b92a8e3 DE-627 ger DE-627 rakwb eng RD701-811 Xin Zhao verfasserin aut Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation In this paper, we present a case of a 9‐year‐old boy treated by an arthroscopic repair technique using two transfemoral tunnels sparing the epiphyseal plate for 8‐shaped suture fixation of femoral avulsion fracture of the PCL and using the Fastfix repair system for a meniscus tear. At 3‐month postoperative, the boy showed satisfactory recovery with a full range of motion of the right knee and normal muscular strength, and no complications were observed after operation. The patient had been followed up for 24 months and his final assessment demonstrated stable painless knee with excellent functional outcome. In view of this, we suggest that the “figure‐of‐eight” suture technique using two transfemoral tunnels sparing the epiphyseal plate can be considered a new choice for the treatment of the PCL femoral attachment avulsion, especially in skeletally immature patients. In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. According to the relevant findings and cases studies, we proposed a new classification named “Xiangya” which might facilitate future clinical decision making. Femoral avulsion fracture Knee injuries Meniscus tear Posterior cruciate ligament Orthopedic surgery Shi‐da Kuang verfasserin aut Chao Su verfasserin aut Wen‐feng Xiao verfasserin aut Guang‐hua Lei verfasserin aut Shu‐guang Gao verfasserin aut In Orthopaedic Surgery Wiley, 2019 12(2020), 2, Seite 692-697 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:12 year:2020 number:2 pages:692-697 https://doi.org/10.1111/os.12636 kostenfrei https://doaj.org/article/63c3ed696f97460b883c95232b92a8e3 kostenfrei https://doi.org/10.1111/os.12636 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2020 2 692-697
allfieldsSound	10.1111/os.12636 doi (DE-627)DOAJ016294475 (DE-599)DOAJ63c3ed696f97460b883c95232b92a8e3 DE-627 ger DE-627 rakwb eng RD701-811 Xin Zhao verfasserin aut Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation In this paper, we present a case of a 9‐year‐old boy treated by an arthroscopic repair technique using two transfemoral tunnels sparing the epiphyseal plate for 8‐shaped suture fixation of femoral avulsion fracture of the PCL and using the Fastfix repair system for a meniscus tear. At 3‐month postoperative, the boy showed satisfactory recovery with a full range of motion of the right knee and normal muscular strength, and no complications were observed after operation. The patient had been followed up for 24 months and his final assessment demonstrated stable painless knee with excellent functional outcome. In view of this, we suggest that the “figure‐of‐eight” suture technique using two transfemoral tunnels sparing the epiphyseal plate can be considered a new choice for the treatment of the PCL femoral attachment avulsion, especially in skeletally immature patients. In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. According to the relevant findings and cases studies, we proposed a new classification named “Xiangya” which might facilitate future clinical decision making. Femoral avulsion fracture Knee injuries Meniscus tear Posterior cruciate ligament Orthopedic surgery Shi‐da Kuang verfasserin aut Chao Su verfasserin aut Wen‐feng Xiao verfasserin aut Guang‐hua Lei verfasserin aut Shu‐guang Gao verfasserin aut In Orthopaedic Surgery Wiley, 2019 12(2020), 2, Seite 692-697 (DE-627)59356393X (DE-600)2483883-4 17577861 nnns volume:12 year:2020 number:2 pages:692-697 https://doi.org/10.1111/os.12636 kostenfrei https://doaj.org/article/63c3ed696f97460b883c95232b92a8e3 kostenfrei https://doi.org/10.1111/os.12636 kostenfrei https://doaj.org/toc/1757-7853 Journal toc kostenfrei https://doaj.org/toc/1757-7861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2020 2 692-697
language	English
source	In Orthopaedic Surgery 12(2020), 2, Seite 692-697 volume:12 year:2020 number:2 pages:692-697
sourceStr	In Orthopaedic Surgery 12(2020), 2, Seite 692-697 volume:12 year:2020 number:2 pages:692-697
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Femoral avulsion fracture Knee injuries Meniscus tear Posterior cruciate ligament Orthopedic surgery
isfreeaccess_bool	true
container_title	Orthopaedic Surgery
authorswithroles_txt_mv	Xin Zhao @@aut@@ Shi‐da Kuang @@aut@@ Chao Su @@aut@@ Wen‐feng Xiao @@aut@@ Guang‐hua Lei @@aut@@ Shu‐guang Gao @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	59356393X
id	DOAJ016294475
language_de	englisch
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callnumber-first	R - Medicine
author	Xin Zhao
spellingShingle	Xin Zhao misc RD701-811 misc Femoral avulsion fracture misc Knee injuries misc Meniscus tear misc Posterior cruciate ligament misc Orthopedic surgery Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear
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topic_title	RD701-811 Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear Femoral avulsion fracture Knee injuries Meniscus tear Posterior cruciate ligament
topic	misc RD701-811 misc Femoral avulsion fracture misc Knee injuries misc Meniscus tear misc Posterior cruciate ligament misc Orthopedic surgery
topic_unstemmed	misc RD701-811 misc Femoral avulsion fracture misc Knee injuries misc Meniscus tear misc Posterior cruciate ligament misc Orthopedic surgery
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title	Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear
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title_full	Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear
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title_sort	arthroscopic treatment of femoral avulsion fracture of the posterior cruciate ligament in association with meniscus tear
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title_auth	Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear
abstract	Background Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation In this paper, we present a case of a 9‐year‐old boy treated by an arthroscopic repair technique using two transfemoral tunnels sparing the epiphyseal plate for 8‐shaped suture fixation of femoral avulsion fracture of the PCL and using the Fastfix repair system for a meniscus tear. At 3‐month postoperative, the boy showed satisfactory recovery with a full range of motion of the right knee and normal muscular strength, and no complications were observed after operation. The patient had been followed up for 24 months and his final assessment demonstrated stable painless knee with excellent functional outcome. In view of this, we suggest that the “figure‐of‐eight” suture technique using two transfemoral tunnels sparing the epiphyseal plate can be considered a new choice for the treatment of the PCL femoral attachment avulsion, especially in skeletally immature patients. In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. According to the relevant findings and cases studies, we proposed a new classification named “Xiangya” which might facilitate future clinical decision making.
abstractGer	Background Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation In this paper, we present a case of a 9‐year‐old boy treated by an arthroscopic repair technique using two transfemoral tunnels sparing the epiphyseal plate for 8‐shaped suture fixation of femoral avulsion fracture of the PCL and using the Fastfix repair system for a meniscus tear. At 3‐month postoperative, the boy showed satisfactory recovery with a full range of motion of the right knee and normal muscular strength, and no complications were observed after operation. The patient had been followed up for 24 months and his final assessment demonstrated stable painless knee with excellent functional outcome. In view of this, we suggest that the “figure‐of‐eight” suture technique using two transfemoral tunnels sparing the epiphyseal plate can be considered a new choice for the treatment of the PCL femoral attachment avulsion, especially in skeletally immature patients. In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. According to the relevant findings and cases studies, we proposed a new classification named “Xiangya” which might facilitate future clinical decision making.
abstract_unstemmed	Background Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. Case presentation In this paper, we present a case of a 9‐year‐old boy treated by an arthroscopic repair technique using two transfemoral tunnels sparing the epiphyseal plate for 8‐shaped suture fixation of femoral avulsion fracture of the PCL and using the Fastfix repair system for a meniscus tear. At 3‐month postoperative, the boy showed satisfactory recovery with a full range of motion of the right knee and normal muscular strength, and no complications were observed after operation. The patient had been followed up for 24 months and his final assessment demonstrated stable painless knee with excellent functional outcome. In view of this, we suggest that the “figure‐of‐eight” suture technique using two transfemoral tunnels sparing the epiphyseal plate can be considered a new choice for the treatment of the PCL femoral attachment avulsion, especially in skeletally immature patients. In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. According to the relevant findings and cases studies, we proposed a new classification named “Xiangya” which might facilitate future clinical decision making.
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title_short	Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear
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In addition, six similar cases were found in a comprehensive literature review targeting femoral avulsion fracture of the PCL. 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Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear

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