Post-operative Physiotherapeutic Rehabilitation in a Rare Case of Avulsion Fracture of Tibial Attachment of Posterior Cruciate Ligament: A Case Report

Abstract

Avulsion fractures of tibial attachment of PCL are not observed very often. PCL injuries are uncommon; especially those involving tibial aspect/fragment are rare. On the basis of the site of damage: Hyperflexion, Hyperextension, Pretibial trauma, etc. are the considered causes of injury. Injury to the PCL results changes in the kinematics of the knee. Changes in contact pressure have been demonstrated in both the patellofemoral and the medial tibiofemoral compartments after sectioning of the PCL, with significant increase in joint forces. This alteration in the normal kinematics may explain the tendency for the development of degenerative changes in the above mentioned compartments after PCL injury. Physiotherapy plays a very vital role in the treatment and management of such cases. Here, we report a case of a 25year old young man who was admitted to Acharya Vinobha Bhave Rural Hospital (AVBRH), Datta Meghe Institute of Medical Sciences (DMIMS), Deemed to be University (DU), with an alleged history of slip and fall from two-wheeler due to RTA sustaining injury to the right limb, particularly on the knee and further complained of pain & swelling over the knee along with difficulty in walking. On examination and investigation it was diagnosed as the case of avulsion fracture of tibial attachment of PCL. And so was operated and treated with open reduction and internal fixation (ORIF). Thereafter, was referred to the Physiotherapy Department for further rehabilitation. The purpose of this study is to: Discuss the epidemiology& Operative method. Discuss the physiotherapeutic management and rehabilitation of PCL tears and their outcomes.