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KMID : 1037920140010020099
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Arthroscopy and Orthopedic Sports Medicine
2014 Volume.1 No. 2 p.99 ~ p.103
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Arthroscopic augmenting reconstruction of the anterolateral bundle in isolated posterior cruciate ligament injuries using the remnant bundle-preserving technique
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Lee Sang-Bok
Sim Jae-Ang
Lee Yong-Seuk
Lee Beom-Koo
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Abstract
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Background: The purpose of this study was to report the outcomes of arthroscopic reconstruction of posterior cruciate ligament (PCL) using the remnant bundle preserving technique, augmenting specifically the anterolateral bundle of PCL.
Methods: Thirty-seven patients who underwent an arthroscopic anterolateral bundle reconstruction with the remnant preserving technique of PCL between February 2001 and August 2010 were enrolled in this study. There were 29 male and 8 female patients with an average age of 41 years (range, 19 to 67 years). Mean follow-up period was 41 months (range, 12 to 103 months). The clinical outcomes were assessed by the Lysholm knee score and the International Knee Documentation Committee (IKDC) score. The radiological outcomes were assessed using the stability and stress radiograms, measured by the Telos device.
Results: The preoperative Lysholm knee score improved significantly from a mean 75.3 ± 12.8 value to a postoperative mean of 91.2 ± 5.8 (P < 0.05). Likewise, the preoperative IKDC subjective score improved from a mean value of 72.0 ± 11.6 to a postoperative mean of 87.8 ± 5.0 (P < 0.05). Further, stress radiographs showed a decrease in the average side to side difference of posterior tibial translation from 8.4 ± 4.1 mm to 4.0 ± 2.8 mm, before and after the operation (P < 0.05).
Conclusion: The clinical and stability results improved in patients with isolated PCL injury after arthroscopic augmenting PCL reconstruction using the remnant preserving technique.
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KEYWORD
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Knee, Posterior cruciate ligament, Reconstruction, Remnant preservation
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