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KMID : 0828620080120010045
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Journal of Korean Arthroscopy Society
2008 Volume.12 No. 1 p.45 ~ p.52
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The Clinical Results of Posterior Cruciate Ligament Reconstruction Using Transtibial Tunnel and Posterior Transseptal Portal
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Cho Jin-Ho
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Abstract
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Purpose: The purpose of the study is to provide the clinical results of arthroscopic posterior cruciate ligament (PCL) reconstruction with preservation of the original PCL using transtibial tunnel and posterior transseptal portal.
Material and Methods : 36 patients underwent PCL reconstruction with achilles tendon allografts. We tried to preserve of the original PCL.At the final follow-up, patients were evaluated retrospectively by four measurements: Lysholm knee scores, IKDC grades, Telos stress radiography, and second look arthroscopy.Follow-up periods were from 12 months to 30 months.
Results: The average Lysholm knee score improved from 66.0±8.67 to 87.9±5.04.Preoperative IKDC grades were abnormal in 15(41.7%) and severely abnormal in 21(58.3%), postoperative IKDC grades were normal in 6(16%),nearly normal in 24(66%), abnormal in 5(16%) and severely abnormal in 1(2%).The average side to side difference in Telos stress test decreased from 12.5±2.61(7~20) mm to 3.9±1.34(7~1) mm (paired sample T test, p=0.001)
Conclusion:Arthroscopic posterior cruciate ligament (PCL) reconstruction with preservation of the original PCL using transtibial tunnel and posterior transseptal portal is useful surgical method.
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KEYWORD
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Posterior cruciate ligament, Transtibial tunnel, Posterior transseptal portal
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