Evidence map›Paper›PMID 39155388›Full record

ArticleJournal of orthopaedic surgery and research2024

PCL injury following high energy trauma: associated injuries and postoperative complications "insights from a national registry study".

Izzet Bingol, Umut Oktem, Mehmet Kaymakoglu, Ulas Can Kolac, Suayip Birinci, Saygin Kamaci

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In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. [Progress in prevention and treatment of knee laxity after posterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Izzet BingolDepartment of Orthopaedics and Traumatology, Ankara Yildirim Beyazit University, Ankara, Turkey. dr.izzetbingol@hotmail.com.ORCID https://orcid.org/0000-0003-0097-3905
Umut OktemDepartment of Orthopaedics and Traumatology, Bilkent City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0001-8436-8934
Mehmet KaymakogluDepartment of Orthopaedics and Traumatology, Izmir University of Economics, Izmir, Turkey.ORCID https://orcid.org/0000-0002-3548-5672
Ulas Can KolacDepartment of Orthopaedics and Traumatology, Hacettepe University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-0502-3351
Suayip BirinciMinistry of Health, Ankara, Turkey.ORCID https://orcid.org/0000-0001-8104-6198
Saygin KamaciDepartment of Orthopaedics and Traumatology, Hacettepe University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-8887-9333

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe posterior cruciate ligament (PCL) is a vital knee stabilizer. While PCL injuries are rare, high-energy traumas can lead to total ruptures, with accompanying injuries requiring surgery. This study aims to investigate the demographics, concomitant injuries, and postoperative complications of patients who underwent PCL reconstruction due to high-energy trauma in a large patient sample.

methodsPatients who underwent PCL reconstruction from 2016 to 2022 were retrospectively evaluated using data from a nationwide personal health recording system. Patient demographics, injury mechanisms, associated fractures, soft tissue injuries, and postoperative complications were collected from patient notes, clinical visits, and surgical notes. Individuals with a PCL injury following high-energy trauma (car accident, falls from height, motorcycle accident) with a minimum follow-up of 1 year were included in the study.

resultsThe study included 416 patients with a mean age of 32.4 years. Isolated PCL injuries (n = 97, 23.3%) were observed less frequently than multiple-ligament injuries (n = 319, 76.7%). Most cases were treated with single-stage surgery (86.8%), while staged surgeries were performed in a minority of cases (13.2%). There was no relationship between trauma mechanisms and multiple-ligament involvement, accompanying injuries, or postoperative complications. Surgeries following car accidents were more likely to occur as staged surgeries (p = 0.014). Additionally, the complication rates for staged surgeries and younger patients (≤ 18 years) were significantly higher (p = 0.009).

conclusionHigh-energy trauma-induced PCL injuries are often associated with severe concurrent knee injuries with multiple ligament involvement. PCL reconstructions following car accidents are more likely to be staged. These findings highlight the importance of careful consideration in managing these cases to minimize complications, particularly in younger age groups. LEVEL OF EVIDENCE: Level III.

Indexed as

Posterior Cruciate LigamentPostoperative ComplicationsRegistriesAccidental FallsAccidents, TrafficAdolescentAdultAgedFemaleHumansKnee InjuriesMaleMiddle AgedMultiple TraumaRetrospective StudiesYoung AdultComplicationsHigh-energy posterior cruciate ligament injuryHigh-energy traumaPCL reconstructionPosterior cruciate ligamentStaged surgery

Identifiers

PMID39155388
PMCPMC11330600

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.