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KMID : 0828620050090010070
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Journal of Korean Arthroscopy Society
2005 Volume.9 No. 1 p.70 ~ p.76
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Arthroscopic Repair of Acute Posterior Cruciate Ligament Rupture with Autogenous Hamstring Tendon Graft Augmentation - Technical Note
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Ahn Jin-Hwan
Lee Sang-Hak
Sung Kee-Lyong
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Abstract
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Purpose: We describe a new technique of arthroscopic repair with using autogenous hamstring tendon graft augmentation for the acute posterior cruciate ligament rupture.
Operative technique: A routine arthroscopic examination of the knee joint is initially performed, then the posterior trans-septal portal is prepared with the using the posteromedial and posterolateral portals. The torn tibial stump that is retracted to the posterior compartment is repaired by a suture hook that is introduced through the anteromedial portal; visualization during this procedure is done with the arthroscope via the posteromedial portal. Using the retrieved suture, both suture ends are brought out to the anteromedial portal. The torn tibial stump is pulled to the intercondylar notch and then repaired with stitches at the anterior compartment. After the tibial and femoral tunnels are prepared without damaging the remnant PCL bundle, the combined torn PCL fibers and the
autogenous single-bundle semitendinosus and gracilis tendon grafts are passed through the femoral tunnel and fixed together.
Conclusion: Arthroscopic repair of the torn tibial stump and autogenous hamstring tendon graft augmentation after preparing the tibial and femoral tunnels by using the trans-septal portal, without damaging the remnant PCL bundle, seems to be a very effective method for the treatment for acute PCL injuries, and especially for tears at the femoral attachment.
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KEYWORD
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Posterior cruciate ligament, Acute rupture, Arthroscopic repair, Autogenous hamstring tendon graft augmentation
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