Posterior Cruciate Ligament Tibial Avulsion treated with Open Reduction and Internal Fixation
In: Malaysian Orthopaedic Journal Malaysian Orthopaedic Journal, Jg. 9 (2015), Heft 2, S. 26-32
Online
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Zugriff:
The optimal treatment for thoracolumbar fractures (TLF) without neurological deficit remains controversial. Majority of the systematic reviews and meta-analyses have evaluated open operative approaches but have yet to compare the outcomes of minimally invasive percutaneous pedicle fixation (MIPPF) versus non-operative treatment. A retrospective cohort study was performed to compare clinical and radiological outcomes between MIPPF and conservative groups for TLF AO Type A1 to Type B2 during a 2-year follow-up period. Pre-operative plain and CT films were evaluated and decision made for short segment (non-fusion) MIPPF. Patients who refused operation were treated conservatively with three months of body cast, brace, or corset. MIPPF group showed earlier Visual Analog Score (VAS) improvement at six months post-injury (0 vs 6.0- p0.050). MIPPF as a method of internal bracing can be pursued in the treatment of TLF, with larger future cohorts and RCTs being called for to support and explore new findings.
| Titel: |
Posterior Cruciate Ligament Tibial Avulsion treated with Open Reduction and Internal Fixation
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| Autor/in / Beteiligte Person: | Lee, WXP ; Kyaw, MO |
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| Zeitschrift: | Malaysian Orthopaedic Journal Malaysian Orthopaedic Journal, Jg. 9 (2015), Heft 2, S. 26-32 |
| Veröffentlichung: | 2017 |
| Medientyp: | unknown |
| ISSN: | 1985-2533 (print) |
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