{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:29:01Z","timestamp":1788366541789,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,8,23]],"date-time":"2015-08-23T00:00:00Z","timestamp":1440288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,8,23]],"date-time":"2015-08-23T00:00:00Z","timestamp":1440288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,8,23]],"date-time":"2015-08-23T00:00:00Z","timestamp":1440288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To retrospectively compare the clinical outcomes of displaced tibial\u2010side posterior cruciate ligament (PCL) avulsion fractures treated with open reduction and screw fixation versus arthroscopic suture fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From 2005 to 2013, all displaced PCL tibial\u2010side avulsion fractures treated surgically\u2014initially by an open posterior approach and\u00a0later by arthroscopic\u2010assisted suture fixation\u2014were retrospectively reviewed. The cases with radiographic evidence of\u00a0greater than 3 mm of displacement and\/or grade II or III laxity on the posterior drawer test were included in the study\u00a0group. The associated injuries were duly treated. A conservative rehabilitation protocol was followed until radiologic fracture union occurred. The patients' clinicoradiologic assessment data at 1 year of follow\u2010up were used for comparison between the open and arthroscopic groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010seven patients were available with 1 year of follow\u2010up: 27 in the open group and 20 in the arthroscopic group. More than 90% of patients in both groups rated their knee function as normal or nearly normal. At 1 year of follow\u2010up, knee function in terms of the Lysholm score (mean of 95.3 with 95% confidence interval [CI] 92.85 to 97.75 in open group and mean of 94.8 with 95% CI 91.38 to 98.22 in arthroscopic group;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .812), Tegner activity level (mean of 6.8 with 95% CI 6.16 to 7.44 in open group and mean of 7.0 with 95% CI 6.44 to 7.66 in arthroscopic group,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .677), International Knee Documentation Committee evaluation, and 1\u2010leg hop test was comparable in both groups. The postoperative arthrometric laxity measurements with a KT\u20102000 arthrometer (MEDmetric, San Diego, CA) were better in the\u00a0arthroscopic group, with 0 to 3 mm of laxity in 85% of cases in the arthroscopic group versus 74% in the open group.\u00a0Avulsed fracture fragments were usually united by 3 months after surgery. No significant complication was noted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both arthroscopic and open methods of treatment for PCL tibial\u2010side avulsion injuries resulted in comparably good clinical outcomes, radiologic healing, and stable knees at short\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.06.014","type":"journal-article","created":{"date-parts":[[2015,8,23]],"date-time":"2015-08-23T23:46:36Z","timestamp":1440373596000},"page":"44-53","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":68,"title":["Displaced Posterior Cruciate Ligament Avulsion Fractures: A Retrospective Comparative Study Between Open Posterior Approach and Arthroscopic Single\u2010Tunnel Suture Fixation"],"prefix":"10.1002","volume":"32","author":[{"given":"Dhananjaya","family":"Sabat","sequence":"first","affiliation":[{"name":"Department of Orthopedics Maulana Azad Medical College and Lok Nayak Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Maulana Azad Medical College and Lok Nayak Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Maulana Azad Medical College and Lok Nayak Hospital New Delhi 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