Double-bundle PCL reconstruction using autogenous quadriceps tendon and semitendinous graft: Surgical technique with 2-year follow-up clinical results

Cury, Ricardo de Paula Leite; Mestriner, Marcos Barbieri; Kaleka, Camila Cohen; Severino, Nilson Roberto; Oliveira, Victor Marques de; Camargo, Osmar Pedro Arbix de

doi:10.1016/j.knee.2014.02.021

Cited by 12 publications

(13 citation statements)

References 34 publications

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“…Although a comparative analysis of the grafts was not included, the present authors have published a series on the use of the quadricipital tendon associated with the semitendinosus 22, 23. The authors list the following as advantages of the use of the flexor tendons: the nonaggression to extensor mechanism, which enhances rehabilitation and reduces postoperative morbidity; greater ease in passing the graft through the bone tunnels; the completion of the tunnels; and the possibility of fixation with interference screws directly into the graft, without interfaces.…”

Section: Discussionmentioning

confidence: 99%

Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up

Cury

Filho

Sadatsune

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo present the outcomes of posterior cruciate ligament (PCL) double-bundle reconstruction using autologous hamstring tendons, with a minimum follow-up of two years.MethodsEvaluation of 16 cases of PCL injury that underwent double-bundle reconstruction with autogenous hamstring tendons, between 2011 and 2013. The final sample consisted of 16 patients, 15 men and one woman, with a mean age of 31 years (21–49). The predominant mechanism was motorcycle accident in half of the cases. There was a mean interval of 15 months between the time of lesion and the surgery (three to 52 months). Five lesions were isolated and 11, associated. Clinical evaluation, application of validated scores, and measurements with use of the KT-1000 were performed.ResultsThe analysis showed a mean preoperative Lysholm score of 50 points (28–87), progressing to 94 points (85–100) postoperatively. The IKDC score also demonstrated improvement. In the preoperative evaluation, four and 12 patients were respectively classified as C (abnormal) and D (very unusual), and in the postoperative evaluation six as A (normal) and ten as B (close to normal). In the post-operative evaluation by KT1000 arthrometer, 13 patients showed difference between 0–2 mm and 3 between 3 and 5 mm, when compared with the contralateral side.ConclusionAutologous hamstring tendons are a viable option in double-bundle reconstruction of the PCL, with good clinical results in a minimum follow-up of two years.

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Section: Discussionmentioning

confidence: 99%

Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up

Cury

Filho

Sadatsune

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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“…Субъективная Реконструкции задней крестообразной связки приводят только к весьма приблизительному восстановлению неповрежденных соотношений [4,7,20,[29][30][31][32][33][34]. Существенным фактором, влияющим на функциональный результат, является правильное положение (позиционирование) трансплантата ЗКС.…”

Section: материал и методыunclassified

Comparative analysis of the results of the posterior cruciate ligament restoration with «inlay» methods and transtibial canal conduction

Golovakha¹,

Didenko²,

Orljanski³

et al. 2019

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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“…Реконструкции ЗКС должно предшествовать тщательное обследование под наркозом и сравнение обоих коленных суставов, а также артроскопия поврежденного [8,21,32,37]. Необходимо оценить состояние связок, менисков и хрящевых поверхностей [8,32,37], провести варусный и вальгусный тесты с нагрузкой, а также подробный осмотр заднелатеральных и заднемедиальных углов сустава [32].…”

Section: материал и методыunclassified

“…Для этого хорошо подходит ахиллово сухожилие, имеющее достаточную длину и диаметр для выполнения реконструкции [27,35]. Преимущество аллотрансплантатов состоит в возможности избежать осложнений при их получении и небольшой длительности операции [11,21,35]. Однако существует риск передачи трансмиссивной инфекции [2].…”

Section: материал и методыunclassified

“…Однако существует риск передачи трансмиссивной инфекции [2]. Еще один недостаток заключается в высокой стоимости и их малой доступности [21,35]. Таким образом, до операции следует иметь полное представление о повреждении сустава и выбрать наиболее подходящий вид трансплантата.…”

Section: материал и методыunclassified

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Principles of posterior knee joint instability treatment (literature review)

Golovakha¹,

Didenko²,

Krasnoperov³

et al. 2017

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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Double-bundle PCL reconstruction using autogenous quadriceps tendon and semitendinous graft: Surgical technique with 2-year follow-up clinical results

Cited by 12 publications

References 34 publications

Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up

Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up

Comparative analysis of the results of the posterior cruciate ligament restoration with «inlay» methods and transtibial canal conduction

Principles of posterior knee joint instability treatment (literature review)

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