The use of external fixation in the reconstruction of complex posterior cruciate injuries

J. W. Staeheli, F. J. Frassica, F. H. Sim

Research output: Contribution to journalArticle

Abstract

Proper immobilization of the knee after repair or reconstruction of the posterior cruciate ligament is difficult because of the tendency of the tibia to sag posteriorly, placing tension on the repaired structures. We describe the use of external fixation to immobilize the knee after repair or reconstruction of the posterior cruciate ligament. In seven patients, external fixation devices were used postoperatively for immobilization. All three patients with acute injury had repair of the avulsed ligament and associated ligamentous injuries. Of the four patients with chronic injury, three underwent reconstructive surgery because of significant injury to other ligaments. The average length of immobilization in the fixator was 45.4 days. The range of motion at last followup averaged 5.7° to 103.5°, and followup was from six to 20 months. Two patients had three complications: one had decreased flexion and the other had a pin tract infection and lacked flexion beyond 90°. All patients were satisfied with the result of the surgery: three patients had a 1+ posterior drawer and four had a stable posterior cruciate ligament at followup examination. External fixation may be useful in complex knee injuries involving rupture of the posterior cruciate ligament.

Original languageEnglish (US)
Pages (from-to)1436-1440
Number of pages5
JournalOrthopedics
Volume7
Issue number9
StatePublished - 1984
Externally publishedYes

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Wounds and Injuries
Immobilization
Posterior Cruciate Ligament
Ligaments
Knee
Reconstructive Surgical Procedures
Knee Injuries
External Fixators
Articular Range of Motion
Tibia
Rupture
Infection
Posterior Cruciate Ligament Reconstruction

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Staeheli, J. W., Frassica, F. J., & Sim, F. H. (1984). The use of external fixation in the reconstruction of complex posterior cruciate injuries. Orthopedics, 7(9), 1436-1440.

The use of external fixation in the reconstruction of complex posterior cruciate injuries. / Staeheli, J. W.; Frassica, F. J.; Sim, F. H.

In: Orthopedics, Vol. 7, No. 9, 1984, p. 1436-1440.

Research output: Contribution to journalArticle

Staeheli, JW, Frassica, FJ & Sim, FH 1984, 'The use of external fixation in the reconstruction of complex posterior cruciate injuries', Orthopedics, vol. 7, no. 9, pp. 1436-1440.
Staeheli, J. W. ; Frassica, F. J. ; Sim, F. H. / The use of external fixation in the reconstruction of complex posterior cruciate injuries. In: Orthopedics. 1984 ; Vol. 7, No. 9. pp. 1436-1440.
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