Onlay Technique for Posterior Cruciate Ligament Reconstruction: The Paccola's Technique

Fogagnolo, Fabrício; Salim, Rodrigo; Faria, José Leonardo Rocha de; Pavão, Douglas Mello; Kfuri, Maurício

doi:10.1016/j.eats.2022.12.013

Cited by 1 publication

(1 citation statement)

References 31 publications

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“…Three techniques of graft fixation on the tibial side have been described to date: the transtibial, the inlay, and, more recently, the onlay fixation [6,13,14]. While there were concerns about graft elongation due to the "killer turn" in the transtibial technique, the evolution of instrumentation and the research on the optimal angle of the tibial tunnel have reduced the risk of graft failure [15].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Functional Results Following Posterior Cruciate Ligament Reconstruction in Young Patients

Kyriakidis,

Pitsilos,

Nenopoulos

et al. 2024

Cureus

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Introduction: Posterior cruciate ligament injuries are uncommon, and their management is controversial. However, surgical reconstruction is necessary in case of symptomatic lesions. The present study aimed to analyse patients' reported outcomes and clinical evaluation after isolated posterior cruciate ligament reconstruction. Materials and methods: The present study includes 12 patients with posterior cruciate ligament rupture. All patients were treated with arthroscopic surgery using single-bundle hamstring autograft ligament reconstruction. The primary outcome was the International Knee Documentation Committee (IKDC) subjective questionnaire; secondary outcomes included the Lysholm score and stability assessment. Results: At the time of the surgery, the mean age of the study population was 24 years (range: 18-29), with a body mass index (BMI) of 23.2 kg/m 2 (range: 21-25), and the mean time from injury was five months (range: 1-8). The follow-up period was at least 24 months. The mean IKDC score significantly increased from 68.0 preoperatively to 92.6 at the final follow-up. The Lysholm score also increased from 68.8 to 95.8. Knee stability was classified as normal in all patients after surgery. Conclusion: The results of this study indicate that the posterior cruciate ligament reconstruction with single-bundle hamstring autograft is an efficient treatment option for managing symptomatic young patients. All patients presented good functional and clinical results at two years of follow-up. However, further studies with more participants and a longer follow-up are needed to validate these data.

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