{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:36:50Z","timestamp":1792024610515,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T00:00:00Z","timestamp":1595635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T00:00:00Z","timestamp":1595635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T00:00:00Z","timestamp":1595635200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the clinical, radiological outcomes, economic and technical differences for ORIF by cancellous screw fixation versus ARIF by double\u2010tunnel suture fixation for displaced tibial\u2010side PCL avulsion fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty patients with displaced tibial\u2010sided PCL avulsions were operated upon after randomizing them into two groups (20 patients each in the open and arthroscopic group) and followed up prospectively. Assessment included duration of surgery, cost involved, pre\u2010 and post\u2010operative functional scores, radiological assessment of union, and posterior laxity using stress radiography and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up period was 33\u00a0months (27\u201342) (open group) and 30\u00a0months (26\u201344) (arthroscopic group). The duration of surgery was significantly larger in the arthroscopic group (47.8\u2009\u00b1\u200917.9\u00a0min) as compared to the open group (33.4\u2009\u00b1\u200910.1\u00a0min). The costs involved were significantly higher in the arthroscopic group (<jats:italic>p<\/jats:italic>\u2212 0.01). At final follow\u2010up, knee function in the form of IKDC (International Knee Documentation Committee) evaluation (89.9\u2009\u00b1\u20094.8\u2010open and 89.3\u2009\u00b1\u20095.9\u2010arthroscopic) and Lysholm scores (94.2\u2009\u00b1\u20094.1\u2010open and 94.6\u2009\u00b1\u20094.1\u2010arthroscopic) had improved significantly with the difference (n.s.) between the two groups. The mean posterior tibial displacement was 5.7\u2009\u00b1\u20091.8\u00a0mm in the open group and 6.3\u2009\u00b1\u20093.1\u00a0mm in the arthroscopic group which was (n.s.). There were two non\u2010unions and one popliteal artery injury in the arthroscopic group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both ARIF and ORIF for PCL avulsion fractures yield good clinical and radiological outcomes. However, ORIF was better than ARIF in terms of cost, duration of surgery, and complications like non\u2010union and iatrogenic vascular injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>II.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06144-9","type":"journal-article","created":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T05:03:37Z","timestamp":1595653417000},"page":"1251-1257","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Arthroscopic reduction and internal fixation (ARIF) versus open reduction internal fixation (ORIF) to elucidate the difference for tibial side PCL avulsion fixation: a randomized controlled trial (RCT)"],"prefix":"10.1002","volume":"29","author":[{"given":"Silvampatti Ramaswamy","family":"Sundararajan","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Arthroscopy and Sports Medicine Ganga Medical Centre and Hospitals Pvt Ltd 313 Mettupalayam Road 641043 Coimbatore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph Babu","family":"Joseph","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Arthroscopy and Sports Medicine Ganga Medical Centre and Hospitals Pvt Ltd 313 Mettupalayam Road 641043 Coimbatore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajagopalakrishnan","family":"Ramakanth","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Arthroscopy and Sports Medicine Ganga Medical Centre and Hospitals Pvt Ltd 313 Mettupalayam Road 641043 Coimbatore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit Kumar","family":"Jha","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Arthroscopy and Sports Medicine Ganga Medical Centre and Hospitals Pvt Ltd 313 Mettupalayam Road 641043 Coimbatore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanmuganathan","family":"Rajasekaran","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Spine Surgery Ganga Medical Centre and Hospitals Pvt Ltd 313 Mettupalayam Road 641043 Coimbatore India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,25]]},"reference":[{"key":"e_1_2_10_2_2","first-page":"277","article-title":"Surgical approaches to the knee joint","volume":"27","author":"Abbott LC","year":"1945","journal-title":"J Bone Jt Surg 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