Abstract
Introduction: The posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) are important to ensure the stability of the knee joint. Both PCL and ACL can be injured, but PCL injuries are much less common than ACL injuries. In order to summarize the experience and improve the quality of treatment, we conducted the research with the aim is to evaluate the results of arthroscopic all-inside posterior cruciate ligament reconstruction using hamstring tendon autograft.
Materials and methods: From June 2018 to December 2019, all patients who had posterior cruciate ligament (PCL) rupture treated with all-inside arthroscopy PCL reconstructions using semitendinous and gracilis autograft at the Joint Surgery Department of 108 Military Central Hospital were enrolled. The results were evaluated according to the Lysholm – Gilquist and IKDC – 2000 score.
Results: 28 patients were enrolled. The mean age was 34,1 years (range: 20 – 55 years old), the mean follow-up time was 15,8 months, good results accounted for 35,7%, fair: 57,1%, average: 7,2%.
Conclusions: In patients with PCL rupture, who were treated with arthroscopy PCL reconstruction by all – inside technique, the results were good prospects. However, it needs to assess more patients and to follow-up for long term.
References
- Do Van Minh (2018), Study on application of posterior ligament reconstruction by arthroscopy all inside . PhD thesis, Hanoi Medical University.
- Bedi A., Musahl V., Cowan J.B. (2016). Management of Posterior Cruciate Ligament Injuries: An Evidence-Based Review. J Am Acad Orthop Surg, 24(5), 277–289.
- LaPrade C.M., Civitarese D.M., Rasmussen M.T., et al. (2015). Emerging Updates on the Posterior Cruciate Ligament: A Review of the Current Literature. Am J Sports Med, 43(12), 3077–3092.
- Chan Y.S., Yang S.C., Chang C.H., et al. (2006). Arthroscopic Reconstruction of the Posterior Cruciate Ligament With Use of a Quadruple Hamstring Tendon Graft With 3- to 5-Year Follow-up. Arthrosc J Arthrosc Relat Surg, 22(7), 762–770.
- Chen C.H., Chuang T.Y., Wang K.C., et al. (2006). Arthroscopic posterior cruciate ligament reconstruction with hamstring tendon autograft: results with a minimum 4-year follow-up. Knee Surg Sports Traumatol Arthrosc, 14(11), 1045–1054.
- Norbakhsh S.T., Zafarani Z., Najafi A., et al. (2014). Arthroscopic posterior cruciate ligament reconstruction by using hamstring tendon autograft and transosseous screw fixation: minimal 3 years follow-up. Arch Orthop Trauma Surg, 134(12), 1723–1730.
- Seon J.-K., Song E.-K. (2006). Reconstruction of isolated posterior cruciate ligament injuries: a clinical comparison of the transtibial and tibial inlay techniques. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc, 22(1), 27–32.
- Agotegaray J.I., Comba I., Bisiach L., et al. (2017). Vascular Complications in Arthroscopic Repair Of Posterior Cruciate Ligament. Orthop J Sports Med, 5(1_suppl), 2325967117S0001.
- Jin Hwan Ahn, Joon Ho Wang, Sang Hak Lee, et al. (2007). Increasing the Distance Between the Posterior Cruciate Ligament and the Popliteal Neurovascular Bundle by a Limited Posterior Capsular Release During Arthroscopic Transtibial Posterior Cruciate Ligament Reconstruction. Am J Sports Med, 35(5), 787–792.
- Chen D., Li Q., Rong Z., et al. (2017). Incidence and risk factors of deep venous thrombosis following arthroscopic posterior cruciate ligament reconstruction:. Medicine (Baltimore), 96(22), e7074.