KMID : 0828620070110020117
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Journal of Korean Arthroscopy Society 2007 Volume.11 No. 2 p.117 ~ p.121
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Arthroscopic Posterior Cruciate Ligament Repair
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Kim Kyung-Taek
Sohn Sung-Keun Kim Chul-Hong Kang Min-Soo Lee Chul-Won
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Abstract
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urpose: The purpose of this study is to evaluate the results of arthroscopic primary repair of a posterior cruciate ligament (PCL) avulsion injury without bony fragment at the femoral attach site.
Materials and Methods: From Jan. 1993 to Dec. 2002, we performed 10 cases of PCL repair by arthroscopic suture technique. The mean follow-up period was 38.7¡¾11 months and the mean age of the patients was 28.2¡¾6 years old. 8 cases were men. 2 cases were women. At last follow-up, all cases were evaluated with the Lysholm and Gillquist knee rating system and International Knee Documentation Committee criteria. Posterior tibial displacement on stress lateral radiograph and posterior instability with posterior drawer test were measured also in all cases.
Results: The mean Lysholm and Gillquist score was 94.5¡¾2.6. 4 cases were IKDC A (normal) and the other 6 cases were IKDC B (nearly normal). Posterior instabilities by posterior drawer test were grade I in 5 cases and grade II in 5 cases. A mean posterior translation of tibia was 3¡¾2.3 mm on stress lateral radiographs.
Conclusion: Arthroscopic primary repair of PCL avulsion without bony fragment at the femoral attach site is one of the useful methods that reduce the posterior instability and improve the functional outcomes.
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KEYWORD
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Posterior cruciate ligament, Avulsion injury, Repair
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