Comparison of tibial inlay versus transtibial techniques for isolated posterior cruciate ligament reconstruction: minimum 2-year follow-up

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
John D MacGillivrayRussell F Warren

Abstract

Surgical treatment of isolated posterior cruciate ligament (PCL) injuries is controversial. The purpose of this retrospective study was to evaluate the surgical outcomes of PCL reconstruction. Two techniques were compared, the traditional endoscopic and the more recent tibial inlay, to determine if the inlay technique yielded more stable reconstructions. Retrospective study of surgical outcomes. Between 1980 and 1997 [corrected], 29 patients underwent surgery for isolated PCL injuries at our institution. Two patients underwent primary repair, 4 underwent primary repair with semitendinosus-gracilis augmentation, and 1 had a tibial inlay with a double femoral tunnel, and these patients were excluded from this study. Two patients were lost to follow-up, leaving 20 patients who were evaluated at a mean follow-up of 5.7 years (range, 2 to 15 years). The average age at surgery was 29 years (range, 17 to 49 years). The primary indication for surgery was instability (95%). The surgical procedures included 13 traditional endoscopic transtibial PCL reconstructions (9 bone-patellar tendon-bone [BPTB] autograft, 2 BPTB allograft, and 2 allograft Achilles tendon) and 7 tibial inlay (all BPTB, 5 allograft and 2 autograft). Each patient was e...Continue Reading

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