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Arthroscopic reconstruction of the posterior cruciate ligament by using a quadriceps tendon autograft: a minimum 5-year follow-up.
Arthroscopy. 2007 Apr; 23(4):420-7.A

Abstract

PURPOSE

We prospectively assessed 22 consecutively treated patients to determine the effectiveness and safety of arthroscopically assisted posterior cruciate ligament (PCL) reconstruction by using a quadriceps tendon autograft.

METHODS

Twenty-two patients with isolated PCL injury who underwent PCL reconstruction with a quadriceps tendon autograft were enrolled in the prospective study. The average follow-up period was 66 months (range, 60-76). Follow-up included Lysholm knee scores, Tegner activity scores, International Knee Documentation Committee (IKDC) score, thigh muscle assessment, and radiographic assessment.

RESULTS

The mean preoperative Lysholm score for 22 knees was 67 (range, 50 to 75), and the mean postoperative Lysholm score was 89 (range, 75 to 98). Nineteen of 22 patients (86%) displayed good or excellent results in the final assessment. The mean preoperative Tegner score for 22 knees was 3 (range, 2 to 5), whereas the mean postoperative Tegner score was 6 (range, 3 to 9). There were statistically significant improvements in Lysholm score (P = .009), Tegner score (P = .039), postoperative KT-1000 arthrometer (MEDmetric, San Diego, CA) scores (P = .006), final IKDC rating (P = .035), and thigh atrophy and muscle strength (P < .05) when compared with preoperative data. Regarding IKDC final rating, 82% of the patients (18 of 22) were assessed as normal or nearly normal (grade A or B).

CONCLUSIONS

After follow-up for more than 60 months, the analytical results showed patients achieved satisfactory function after PCL reconstruction by using a quadriceps tendon-patellar bone autograft. This study suggests that a quadriceps tendon autograft is sufficiently large and strong and can achieve good ligament function after reconstruction.

LEVEL OF EVIDENCE

Level IV, therapeutic study.

Authors+Show Affiliations

Department of Orthopaedic Surgery and Chang-Gung Memorial Hospital and Chang Gung University College of Medicine, Taiwan, Republic of China.No affiliation info availableNo 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

17418336

Citation

Wu, Chin-Hsien, et al. "Arthroscopic Reconstruction of the Posterior Cruciate Ligament By Using a Quadriceps Tendon Autograft: a Minimum 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. 23, no. 4, 2007, pp. 420-7.
Wu CH, Chen AC, Yuan LJ, et al. Arthroscopic reconstruction of the posterior cruciate ligament by using a quadriceps tendon autograft: a minimum 5-year follow-up. Arthroscopy. 2007;23(4):420-7.
Wu, C. H., Chen, A. C., Yuan, L. J., Chang, C. H., Chan, Y. S., Hsu, K. Y., Wang, C. J., & Chen, W. J. (2007). Arthroscopic reconstruction of the posterior cruciate ligament by using a quadriceps tendon autograft: a minimum 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, 23(4), 420-7.
Wu CH, et al. Arthroscopic Reconstruction of the Posterior Cruciate Ligament By Using a Quadriceps Tendon Autograft: a Minimum 5-year Follow-up. Arthroscopy. 2007;23(4):420-7. PubMed PMID: 17418336.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arthroscopic reconstruction of the posterior cruciate ligament by using a quadriceps tendon autograft: a minimum 5-year follow-up. AU - Wu,Chin-Hsien, AU - Chen,Alvin Chao-Yu, AU - Yuan,Li-Jen, AU - Chang,Chung-Hsun, AU - Chan,Yi-Sheng, AU - Hsu,Kuo-Yao, AU - Wang,Ching-Jen, AU - Chen,Wen-Jer, PY - 2006/05/16/received PY - 2006/11/28/revised PY - 2006/12/08/accepted PY - 2007/4/10/pubmed PY - 2007/5/2/medline PY - 2007/4/10/entrez SP - 420 EP - 7 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 - 23 IS - 4 N2 - PURPOSE: We prospectively assessed 22 consecutively treated patients to determine the effectiveness and safety of arthroscopically assisted posterior cruciate ligament (PCL) reconstruction by using a quadriceps tendon autograft. METHODS: Twenty-two patients with isolated PCL injury who underwent PCL reconstruction with a quadriceps tendon autograft were enrolled in the prospective study. The average follow-up period was 66 months (range, 60-76). Follow-up included Lysholm knee scores, Tegner activity scores, International Knee Documentation Committee (IKDC) score, thigh muscle assessment, and radiographic assessment. RESULTS: The mean preoperative Lysholm score for 22 knees was 67 (range, 50 to 75), and the mean postoperative Lysholm score was 89 (range, 75 to 98). Nineteen of 22 patients (86%) displayed good or excellent results in the final assessment. The mean preoperative Tegner score for 22 knees was 3 (range, 2 to 5), whereas the mean postoperative Tegner score was 6 (range, 3 to 9). There were statistically significant improvements in Lysholm score (P = .009), Tegner score (P = .039), postoperative KT-1000 arthrometer (MEDmetric, San Diego, CA) scores (P = .006), final IKDC rating (P = .035), and thigh atrophy and muscle strength (P < .05) when compared with preoperative data. Regarding IKDC final rating, 82% of the patients (18 of 22) were assessed as normal or nearly normal (grade A or B). CONCLUSIONS: After follow-up for more than 60 months, the analytical results showed patients achieved satisfactory function after PCL reconstruction by using a quadriceps tendon-patellar bone autograft. This study suggests that a quadriceps tendon autograft is sufficiently large and strong and can achieve good ligament function after reconstruction. LEVEL OF EVIDENCE: Level IV, therapeutic study. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/17418336/Arthroscopic_reconstruction_of_the_posterior_cruciate_ligament_by_using_a_quadriceps_tendon_autograft:_a_minimum_5_year_follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-8063(06)01500-3 DB - PRIME DP - Unbound Medicine ER -