Remnant preservation is helpful to obtain good clinical results in posterior cruciate ligament reconstruction: comparison of clinical results of three techniques

Clinics in Orthopedic Surgery
Sang-Hak LeeSeong Hwan Kim

Abstract

The purpose of the present study was to compare the clinical results of 3 posterior cruciate ligament reconstruction techniques according to the time from injury to surgery and remnant PCL status and to evaluate the efficiency of each technique. The records of 89 patients who underwent primary PCL reconstructions with a posterolateral corner sling were analyzed retrospectively. Thirty-four patients were treated by anterolateral bundle (ALB) reconstruction with preservation of the remnant PCL using a transtibial tunnel technique in the acute and subacute stages of injury (group 1). Forty patients were treated with remnant PCL tensioning and an ALB reconstruction using the modified inlay technique in the chronic stage (group 2), and fifteen patients were treated with double-bundle reconstruction using the modified inlay technique (group 3). The double-bundle reconstruction was performed if there was a very weak or no PCL remnant. The mean side-to-side differences in posterior tibial translation on the stress radiographs were reduced from 10.1 ± 2.5 mm in group 1, 10.6 ± 2.4 mm in group 2, and 12.8 ± 3.2 mm in group 3 preoperatively to 2.3 ± 1.4 mm in group 1, 2.3 ± 1.5 mm in group 2, and 4.0 ± 2.5 mm in group 3 at the last follow...Continue Reading

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Citations

Apr 16, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yongqian LiYingze Zhang
May 11, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jae-Gwang SongKyung Wook Nha
Apr 17, 2016·Archives of Orthopaedic and Trauma Surgery·Soyeon AhnYun Seong Choi
Jun 19, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jung Ho NohTae Seok Kang
Apr 18, 2018·Current Reviews in Musculoskeletal Medicine·Jessica Shin, Travis G Maak
Sep 12, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kyoung Ho YoonSang-Gyun Kim
Jan 5, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Seong Hwan KimYoung-Bok Jung

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