{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T19:09:07Z","timestamp":1788635347383,"version":"build-2803163510"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"the Youth Program of National Natural Science Foundation of China","award":["82102629"],"award-info":[{"award-number":["82102629"]}]},{"name":"Health research project of Anhui Province","award":["AHWJ2022c043"],"award-info":[{"award-number":["AHWJ2022c043"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to analyse the difference between arthroscopic fixation and open reduction internal fixation (ORIF) of posterior cruciate ligament (PCL) tibial avulsion fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study analysed patients with an acute PCL tibial avulsion fracture who underwent surgical treatment at our hospital and follow-up for at least 24\u00a0months. Variables based on sex, age, Meyers\u2013McKeever type, surgical method, meniscus tear, external fixation, labour or sports, Lysholm knee score, IKDC score, and KT-1000 value were also recorded. Multifactor unconditional logistic regression and Student\u2019s t test with 1:1 propensity score matching (PSM) to remove confounding factors were used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty-five cases achieved knee function graded as \u201cgood\u201d or better, and 9 cases not. Single-factor analysis indicated that Meyers\u2013McKeever type (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20094.669,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.031) and surgical approach (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20099.428,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002) are related to functional outcomes. Multifactorial logistic regression analysis further confirmed that Meyers\u2013McKeever typing (OR\u2009=\u200910.763,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.036, [95% CI 1.174\u201398.693]) and surgical approach (OR\u2009=\u20099.274,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.008, [95% CI 1.794\u201347.934]) are independent risk factors affecting prognosis. In addition, PSM verified significant differences in the Lysholm score (t\u2009=\u20093.195,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.006), IKDC score (t\u2009=\u20094.703,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.000) and A-KT\/H-KT (t\u2009=\u20092.859,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.012). However, the affected-side KT-1000 value (A-KT, mm, t\u2009=\u20091.225,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.239) and healthy-side KT-1000 value (H-KT, mm, t\u2009=\u20091.436,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.172) did not significantly differ between the two groups. The proportions of cases in which the Lysholm score, IKDC and A-KT\/H-KT exceeded the minimal clinically important difference (MCID) were 62.5% (20\/32), 62.5% (20\/32) and 93.75% (30\/32), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared with ORIF, an arthroscopic approach for PCL tibial avulsion fractures achieves better results.<\/jats:p>\n                    <jats:p>\n                      <jats:italic>Level of evidence<\/jats:italic>\n                      : Retrospective cohort study; Level II.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13018-024-04851-4","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T06:02:27Z","timestamp":1718690547000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Modified arthroscopic repair of a posterior cruciate ligament tibial avulsion fracture improves IKDC and Lysholm score compared to open reduction"],"prefix":"10.1186","volume":"19","author":[{"given":"Xingxing","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiming","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quan","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiangbing","family":"Dou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangye","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song","family":"Shao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiwei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"issue":"2","key":"4851_CR1","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s00167-011-1618-6","volume":"20","author":"K Bali","year":"2011","unstructured":"Bali K, Prabhakar S, Saini U, et al. 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N\/A; retrospective study utilized a database, where information is recorded in such a manner that subjects cannot be identified, either directly or indirectly through identifiers linked to subject.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"362"}}