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Arthroscopic reconstruction of the posterior cruciate ligament with use of a quadruple hamstring tendon graft with 3- to 5-year follow-up.
Arthroscopy. 2006 Jul; 22(7):762-70.A

Abstract

PURPOSE

This study prospectively evaluated 20 patients treated consecutively to determine patient outcomes, efficacy, and complication potential of arthroscopically assisted posterior cruciate ligament (PCL) reconstruction performed with hamstring tendon grafts.

METHODS

Twenty patients (15 men and 5 women), each with an isolated PCL injury, underwent PCL reconstruction with hamstring tendon autograft and were enrolled in this prospective study. Average age at time of surgery was 29 years (range, 20 to 57 years). Average time from injury to surgery was 4 months (range, 3 to 12 months). Average follow-up period was 40 months (range, 36 to 50 months). Patients underwent regular follow-up after clinical and radiographic preoperative and postoperative evaluation. Follow-up examinations comprised the Lysholm Knee Score, the Tegner Activity Score, the International Knee Documentation Committee (IKDC) score, thigh muscle assessment, and radiographic evaluation.

RESULTS

Mean preoperative Lysholm score for 20 knees was 63 +/- 10 (range, 48-73); mean postoperative Lysholm score was 93 +/- 9 (range, 77-100). Eighteen of 20 patients (90%) showed good or excellent results at final assessment. Mean preinjury and preoperative Tegner scores were 7 +/- 1.5 (range, 5-9) and 3 +/- 1.9 (range, 2-5), respectively; mean postoperative Tegner score for 20 knees was 6.3 +/- 2.4 (range, 4-9). In final IKDC ratings, 85% of patients (17 of 20) were assessed as normal or near normal (grade A or B). A statistically significant improvement was seen in thigh girth difference, extensor strength ratio, and flexor strength ratio before and after reconstruction at a minimum of 3 years of follow-up.

CONCLUSIONS

After follow-up for longer than 36 months, analytical results showed satisfactory function after PCL reconstruction with the use of hamstring tendon autografts. We suggest that the hamstring tendon autograft is a safe, effective, and acceptable choice for PCL reconstruction, and that it affords good ligament reconstruction.

LEVEL OF EVIDENCE

IV, therapeutic case series.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Division of Sports Medicine, Chang-Gung Memorial Hospital, Chang Gung University College of Medicine, Kweishan, Taoyuan, Taiwan. chan512@adm.cgmh.org.twNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16843813

Citation

Chan, Yi-Sheng, et al. "Arthroscopic Reconstruction of the Posterior Cruciate Ligament With Use of a Quadruple Hamstring Tendon Graft With 3- to 5-year Follow-up." Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, vol. 22, no. 7, 2006, pp. 762-70.
Chan YS, Yang SC, Chang CH, et al. Arthroscopic reconstruction of the posterior cruciate ligament with use of a quadruple hamstring tendon graft with 3- to 5-year follow-up. Arthroscopy. 2006;22(7):762-70.
Chan, Y. S., Yang, S. C., Chang, C. H., Chen, A. C., Yuan, L. J., Hsu, K. Y., & Wang, C. J. (2006). Arthroscopic reconstruction of the posterior cruciate ligament with use of a quadruple hamstring tendon graft with 3- to 5-year follow-up. Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 22(7), 762-70.
Chan YS, et al. Arthroscopic Reconstruction of the Posterior Cruciate Ligament With Use of a Quadruple Hamstring Tendon Graft With 3- to 5-year Follow-up. Arthroscopy. 2006;22(7):762-70. PubMed PMID: 16843813.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arthroscopic reconstruction of the posterior cruciate ligament with use of a quadruple hamstring tendon graft with 3- to 5-year follow-up. AU - Chan,Yi-Sheng, AU - Yang,Shih-Chieh, AU - Chang,Chung-Hsun, AU - Chen,Alvin Chao-Yu, AU - Yuan,Li-Jen, AU - Hsu,Kuo-Yao, AU - Wang,Ching-Jen, PY - 2005/06/06/received PY - 2006/03/21/revised PY - 2006/03/21/accepted PY - 2006/7/18/pubmed PY - 2006/9/1/medline PY - 2006/7/18/entrez SP - 762 EP - 70 JF - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JO - Arthroscopy VL - 22 IS - 7 N2 - PURPOSE: This study prospectively evaluated 20 patients treated consecutively to determine patient outcomes, efficacy, and complication potential of arthroscopically assisted posterior cruciate ligament (PCL) reconstruction performed with hamstring tendon grafts. METHODS: Twenty patients (15 men and 5 women), each with an isolated PCL injury, underwent PCL reconstruction with hamstring tendon autograft and were enrolled in this prospective study. Average age at time of surgery was 29 years (range, 20 to 57 years). Average time from injury to surgery was 4 months (range, 3 to 12 months). Average follow-up period was 40 months (range, 36 to 50 months). Patients underwent regular follow-up after clinical and radiographic preoperative and postoperative evaluation. Follow-up examinations comprised the Lysholm Knee Score, the Tegner Activity Score, the International Knee Documentation Committee (IKDC) score, thigh muscle assessment, and radiographic evaluation. RESULTS: Mean preoperative Lysholm score for 20 knees was 63 +/- 10 (range, 48-73); mean postoperative Lysholm score was 93 +/- 9 (range, 77-100). Eighteen of 20 patients (90%) showed good or excellent results at final assessment. Mean preinjury and preoperative Tegner scores were 7 +/- 1.5 (range, 5-9) and 3 +/- 1.9 (range, 2-5), respectively; mean postoperative Tegner score for 20 knees was 6.3 +/- 2.4 (range, 4-9). In final IKDC ratings, 85% of patients (17 of 20) were assessed as normal or near normal (grade A or B). A statistically significant improvement was seen in thigh girth difference, extensor strength ratio, and flexor strength ratio before and after reconstruction at a minimum of 3 years of follow-up. CONCLUSIONS: After follow-up for longer than 36 months, analytical results showed satisfactory function after PCL reconstruction with the use of hamstring tendon autografts. We suggest that the hamstring tendon autograft is a safe, effective, and acceptable choice for PCL reconstruction, and that it affords good ligament reconstruction. LEVEL OF EVIDENCE: IV, therapeutic case series. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/16843813/Arthroscopic_reconstruction_of_the_posterior_cruciate_ligament_with_use_of_a_quadruple_hamstring_tendon_graft_with_3__to_5_year_follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-8063(06)00550-0 DB - PRIME DP - Unbound Medicine ER -