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Putu Astawa
Departemen Ortopedi Dan Traumatologi, Universitas Udayana, Denpasar
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Veterinary Other

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Journal : Indonesian Journal of Global Health research

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A Comparison Between the Open Posterior Approach and Arthroscopic Suture Fixation in Treating Posterior Cruciate Ligament Tibial Avulsion: A Systematic Review Kuswara, Leonardus William; Astawa, Putu; Aryana, I Gusti Ngurah Wien
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4360

Abstract

Posterior cruciate ligament (PCL) avulsion fractures are rare but significant injuries that can lead to knee instability and degeneration if untreated. Treatment options range from conservative management to surgical fixation. The objective of this study is to evaluate and compare the outcomes of different treatment modalities for posterior cruciate ligament (PCL) avulsion fractures, with a focus on surgical interventions, specifically open surgery and arthroscopy. Methods: A systematic literature search was conducted using the MEDLINE, EMBASE, and Cochrane Library databases from August 17, 2003 to August 17, 2023. Studies included involved patients with PCL avulsion fractures treated via arthroscopic or open fixation. Data was extracted on demographics, surgical approaches, outcomes (Lysholm scores), and complications. The Coleman methodology score was applied to assess study quality by scoring factors like study size, design, follow-up, and outcome measures, and only studies scoring ≥60 were included for data analysis. Results: Out of 1,470 studies, 12 met the inclusion criteria. Lysholm scores ranged from 85 to 100 for open approaches and 80 to 100 for arthroscopic approaches. Arthroscopic treatment showed fewer complications, such as infections or hardware irritation, while both approaches demonstrated favorable outcomes. Postoperative limitations in motion were observed in both groups, with a slightly higher incidence in the arthroscopic cohort. Conclusions: Both arthroscopic and open surgical approaches effectively treat PCL avulsion fractures, with arthroscopy showing a slight advantage in postoperative outcomes and fewer complications. However, open surgery with a small open procedure also offers satisfactory results, particularly for complex fractures.
Co-Authors Anak Agung Gede Eka Septian Utama Anak Agung Wiradewi Lestari Andy Sirada Ardo Sabir, Ardo Ari Asih Purnamawati Dewi Ari Asih Purnamawati Dewi Aryana, I Gusti Ngurah Wien Bagus Komang Satriyasa Cokorda Istri Sri Widhari Desak Made Wihandani Dimas Agusta Dwiwahyonokusuma Dwiwahyonokusuma Eka Wiratnaya Elysanti Dwi Martadiani Gede Adi Yuniarta Gede Parta Kinandana Gusti Ngurah Putra Stanu Herryanto Agustriadi Simanjuntak I Dewa Ayu Inten Dwi Primayanti I Gede Epi Paramarta I Gusti Agung Bagus Mataram I Gusti Ngurah Pramartha Wijaya Putra I Gusti Ngurah Wien Aryana I Gusti Putu Sutarma I Kadek Arya Gangga Permana I Ketut Suarja I Ketut Sutama I Ketut Suyasa I Made Ady Wirawan I Made Jawi I MADE MULIARTA . I Nyoman Adi Putra I Nyoman Adiputra I Nyoman Mangku Karmaya I Nyoman Rajin Aryana I Putu Adiartha Griadhi I Putu Budiarta I Putu Gede Adiatmika I Putu Sudira I Wayan Putu Sutirta Yasa I Wayan Siwantara I Wayan Subawa I Wayan Suryanto Dusak Ida Ayu Elistyawati Ida Bagus Subanada Ivander Purvance Ketut Gede Mulyadi Ridia Ketut Siki Kawiyana Ketut Tirtayasa Komang Septian Sandiwidayat Kuswara, Leonardus William Luh Eka Armoni Made Bramantya Karna Made Sudiarta Made Sudiarta Made Wirabhawa Maharjana, Made Agus Muh. Ali Imron Muhammad Ali Imron Ni Kadek Hera Silawati Ni Luh Eka Armoni Ni Made Puspa Dewi Astawa Ni Nyoman Sri Astuti Ni Putu Siadi Purniti Ni Wayan Rismayanti Nyoman Indah Kusuma Dewi Nyoman Suadnyana Pasek, Nyoman Suadnyana Putra, Agus Suarjaya Putra, Made Winatra Satya Putu Satriya Yudha Permadi Putu Wila Pradnya Paramita Raden Ayu Trisnayoni Savio, Sherly Desnita Soehartono Hadi Pranata Stedy Adnyana Christian Surya Adisthanaya, Surya Susy Purnawati Tamzil, Kezia Aurelia Tjokorda Gde Bagus Mahadewa Wahyuddin Wahyuddin Wahyuddin, Wahyuddin Wiwekowati