ISSN: 1859 - 2872
Outcome of simultaneous arthroscopic anterior cruciate ligament and posterior cruciate ligament reconstruction with autograft
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Abstract
Objective: To evaluate the clinical outcome after reconstructions of the anterior and posterior cruciate ligaments (ACL, PCL). Subject and method: We reviewed 52 patients (31 men and 21 women) were reconstructed combined ACL/PCL from August 2008 to Feb. 2019. The minimum follow-up time of 1 years (range, 12 to 92 months). Result: Knee documentation committee (IKDC) score at final IKDC evaluation, 5 patients were graded level A (normal), 32 patients were graded level B (nearly normal), 15 patients level C (abnormal), and 0 patients level D (grossly abnormal). The mean postoperative subjective Lysholm score was 86.9 ± 9.5 points. 5 patients exellent, 33 patients good, 14 patients fair, and 0 patients poor. Conclusion: Combined chronic ACL/PCL instabilities can be successfully treated with 1-stage arthroscopic cruciate ligament reconstruction combined. Although current reconstruction techniques are not able to restore normal tibiofemoral kinematics, most patients recover a functionally stable knee and have considerably improved knee function compared.
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References
2. Zorzi C, Alam M, Iacono V, Madonna V, Rosa D, Maffulli N (2013) Combined PCL and PLC reconstruction in chronic posterolateral instability. Knee Surg Sports Traumatol Arthrosc 21(5): 1036-1042.
3. De-Cheng Shao, Bai-Cheng Chen, Shi-Jun Gao, Xiao-Feng Wang, Ran Sun (2008) Arthroscopic simultaneous reconstruction of posterior cruciate ligament using double femoral tunnel technique and anterior cruciate ligament with achilles allograft. Journal: Zhonghua Wai Ke Za Zhi 46(2): 94-97 [Chinese journal of surgery].
4. Fanelli GC (2000) Treatment of combined anterior cruciate ligament - posterior cruciate ligament lateral side injuries of the knee. Clinics in Sports Medicine 19(3): 493-502.
5. Fanelli GC, Edson CJ (2002) Arthoscopically assisted combined anterior and posterior cruciate ligament reconstruction in the multiple ligament injured knee: 2 to 10-year follow-up. Arthoroscopy 18: 703-714.
6. Fanelli GC, Edson CJ (2004) Combined posterior cruciate ligament-posterolateral reconstructions with Achilles tendon allograft and biceps femoris tendon tenodesis: 2 to 10-year follow-up. Arthroscopy 20(4): 339-345.
7. Fayed AM, Rothrauff BB, de Sa D et al (2020) Clinical studies of single-stage combined ACL and PCL reconstruction variably report graft tensioning, fixation sequence, and knee flexion angle at time of fixation. Knee Surg Sports Traumatol Arthroscopy 165.
8. Hayashi R, Kitamura N, Kondo E, Anaguchi Y, Tohyama H, Yasuda K (2008) Simultaneous anterior and posterior cruciate ligament reconstruction in chronic knee instabilities: Surgical concepts and clinical outcome. Knee Surg Sports Traumatol Arthrosc 16(8): 763-769.
9. Irrgang JJ, Fitzgerald GK (2000) Rehabilitation of the multiple-ligament-injured knee. Clin Sports Med 19(3): 545-571.
10. Kim SJ, Kim SH, Jung M, Kim JM, Lee SW (2015) Does sequence of graft tensioning affect outcomes in combined anterior and posterior cruciate ligament reconstructions? Clin Orthop Relat Res 473(1): 235-243.
11. Noyers FR, Barber-Westin SD (1997) Reconstruction of the anterior and posterior crusciate ligaments after knee dislocation. Am J Sports Med 7(25): 769.
12. Lai Z, Liu ZX, Yang JL, Zhang ZF, Chang YL (2016) Clinical effect of staged repair and reconstruction of multiple ligament injuries in knee joints. Zhongguo Gu Shang 29(5): 404-407.
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