Clinical Outcomes After Two-Stage Bicruciate Knee Ligament Reconstruction

Inada, Mauro Mituso; Piedade, Sérgio Rocha

doi:10.1590/1413-785220212901234943

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…We originally, used an open technique [5,15,16]. Since 2009, drilling of the PCL femoral tunnel has been performed arthroscopically, and the tibial insertion of the PCL has been approached in an open fashion with the patient supine [17,18].…”

Section: Introductionmentioning

confidence: 99%

Posterior cruciate ligament reconstruction using PCL inlay technique with the patient supine in bicruciate ligament injury reconstruction

et al. 2023

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Background Surgical reconstruction of the posterior cruciate ligament (PCL) can be technically challenging given the proximity of the popliteal artery to the PCL tibial insertion. This "no-safe zone" makes some knee surgeons less confident and willing to perform this surgical procedure. Surgical technique We present a PCL tibial inlay reconstruction technique using a set of instruments involving three tools (a slot cut, a bone plug positioner, and an impactor). Conclusion This set of instruments allows a more reproducible posteromedial approach and to produce a PCL tibial slot in a posterior cruciate ligament inlay reconstruction with the patient supine in bicruciate ligament injury reconstruction.

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Section: Introductionmentioning

confidence: 99%

Posterior cruciate ligament reconstruction using PCL inlay technique with the patient supine in bicruciate ligament injury reconstruction

et al. 2023

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Two-stage ligament reconstruction with remnant preservation as treatment of knee dislocation

Ma,

Yang,

2023

BMC Surg

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Objective The purpose of this study was to evaluate the clinical outcomes of two-stage reconstruction (peripheral reconstruction in phase I and central anterior cruciate ligament (ACL) / posterior cruciate ligament (PCL) reconstruction in phase II) with remnant preservation for patients with knee dislocation. Methods A total of 70 patients (10 IIIM, 17 IIIL, and 43 IV) with knee dislocation were randomly divided into the remnant-preserved group and the simple reconstruction group. Patients underwent two-stage reconstruction, including the reconstruction of collateral ligament in phase I and the reconstruction of ACL/PCL in phase II (12 weeks after phase I). Grafts were harvested from the semitendinosus and gracilis tendons from both lower limbs. After the surgery, the joint flexion and extension, bone tunnel and ligament healing, and joint stability were evaluated. Results After the surgery, the lateral stability recovered in all patients, and X-ray revealed a good position of bone tunnel. Follow-up was performed at 12 months postoperatively and ranged from 24 to 91 months. At the final follow-up, knee flexion angle, IKDC, Lysholm, and Tegner scores were all higher in both groups compared to the preoperative period. Notably, the remnant-preserved group showed superior results in these parameters compared to the simple reconstruction group. There was statistical significance between the two groups in terms of the Lachman test. Conclusion The knee function was well recovered after two-stage ligament reconstruction with remnant preservation.

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Surgical approach on combined chronic patellar tendon and bicruciate knee ligament injury

Piedade,

Górios,

Spiezia

et al. 2024

J Orthop Surg Res

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A combined injury of the patellar tendon and both the anterior and posterior cruciate ligaments is disabling. It directly affects knee kinematics and biomechanics, presenting a considerable surgical challenge. In this complex and uncommon injury, decision-making should take into account the surgeon’s experience and consider one- or two-stage surgery, tendon graft, graft fixation, and rehabilitation protocol. This manuscript discusses the surgical approach based on a comprehensive understanding of the patellar tendon and bicruciate biomechanics to guide which structures should be reconstructed first, especially when a two-stage procedure is chosen.

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Clinical Outcomes After Two-Stage Bicruciate Knee Ligament Reconstruction

Cited by 4 publications

References 20 publications

Posterior cruciate ligament reconstruction using PCL inlay technique with the patient supine in bicruciate ligament injury reconstruction

Posterior cruciate ligament reconstruction using PCL inlay technique with the patient supine in bicruciate ligament injury reconstruction

Two-stage ligament reconstruction with remnant preservation as treatment of knee dislocation

Surgical approach on combined chronic patellar tendon and bicruciate knee ligament injury

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