All-Inside Posterior Cruciate Ligament Reconstruction

Engasser, William M.; Sousa, Paul L.; Stuart, Michael J.; Levy, Bruce A.

doi:10.1007/978-3-319-12072-0_12

Cited by 2 publications

(1 citation statement)

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“… 8 , 9 Although this procedure has been carried out extensively in recent years, increasing evidence suggests that the long-term prognosis may be unsatisfactory, with recurrent laxity and knee instability being much more common in PCL than ACL reconstruction. This has been attributed to the “killer turn” formed when preparing the tibial tunnel, 10 in which the tendon graft forms an acute angle and scratches the sub-tibial cortical bone. 11 The friction can lead to tendon graft injury and affect the creeping substitution by bone marrow mesenchymal cells and fibroblasts.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcomes after arthroscopic single-bundle reconstruction of the posterior cruciate ligament: A 7-year follow-up study

et al. 2017

J Int Med Res

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ObjectiveArthroscopy is the most popular technique in posterior cruciate ligament (PCL) reconstruction surgery. However, no consensus on long-term outcomes after arthroscopic PCL reconstruction has been reached. This study was performed to evaluate the long-term outcomes after arthroscopic autologous hamstring or allogeneic tendon single-bundle reconstruction of the PCL.MethodsFifty-eight patients who underwent arthroscopic PCL reconstruction in Anhui, China from 2007 to 2009 were included. The follow-up period ranged from 56 to 83 months. During the follow-up, the Lysholm knee score and Tegner activity score were used to assess knee function. The KT-2000 arthrometer (MEDmetric Corp., San Diego, CA, USA) was used to assess the stability of the reconstructed PCL.ResultsThe mean Lysholm score, mean Tegner score, and mean forward and backward displacements were not significantly different between the final follow-up and 1 year after the surgery. Additionally, no significant differences were observed in any of the above-mentioned parameters between autologous and allogeneic reconstruction at the final follow-up.ConclusionBoth autologous and allogeneic reconstruction had few complications and satisfactory long-term outcomes.

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