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[Arthroscopic double-bundle posterior cruciate ligament reconstruction using achilles tendon allograft].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2010 Feb; 24(2):235-8.ZX

Abstract

OBJECTIVE

To study the method and clinical results of arthroscopic double-bundle posterior cruciate ligament (PCL) reconstruction using achilles tendon allograft.

METHODS

From September 2005 to September 2006, 17 patients with PCL injuries of grade III received arthroscopic double-bundle PCL reconstruction using achilles tendon allograft. There were 12 males and 5 females with an average age of 31.7 years (range, 19-48 years), including 10 cases of left PCL injuries and 7 cases of right PCL injuries. Injury was caused by sports in 6 cases and traffic accident in 11 cases. The average time from injury to surgery was 16 days (range, 7-30 days). The preoperative knee flexion was (121.8 +/- 4.1) degrees. The posterior drawer test was positive and the varus angulation test was negative in all 17 patients. Lysholm score was 50.8 +/- 6.1 and Tegner score was 1.3 +/- 0.7. The side-to-side difference was (10.5 +/- 1.6) mm by KT-1000 arthrometer.

RESULTS

The hospitalization were (13.6 +/- 2.4) days. The operation time was (67.8 +/- 9.4) minutes. The time was (5.4 +/- 1.2) days when the body temperature was higher than 37.4 degrees C after operation. All incisions healed by first intention. No complication occurred. All 17 patients were followed up 25 months on average (range, 18-30 months). The knee flexion was (116.9 +/- 3.1) degrees at the final follow-up, showing no significant difference when compared with that of preoperation (P > 0.05). The posterior drawer test and the varus angulation test were negative in all 17 patients. Lysholm score and Tegner score were 91.6 +/- 3.2 and 6.0 +/- 0.7, respectively, and the side-to-side difference was (2.7 +/- 1.7) mm, showing significant differences when compared with those of preoperation (P < 0.05).

CONCLUSION

Achilles tendon allograft is fit for PCL reconstruction. Arthroscopic double-bundle posterior cruciate ligament reconstruction using achilles tendon allograft can reconstruct both anterolateral and posteromedial bundles of the PCL. The knee joint function can be restored effectively. The short-term outcome has been proved, but the long-term outcome needs more observations.

Authors+Show Affiliations

Shao D
Department of Joint Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051, P.R. China. shaodecheng@yahoo.com.cn
Chen B
No affiliation info available
Gao S
No affiliation info available
Sun R
No affiliation info available
Li H
No affiliation info available
Yan C
No affiliation info available

MeSH

Achilles TendonAdultArthroscopyFemaleFemurHumansMaleMiddle AgedPosterior Cruciate LigamentTransplantation, HomologousYoung Adult

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

20187461

Citation

Shao, Decheng, et al. "[Arthroscopic Double-bundle Posterior Cruciate Ligament Reconstruction Using Achilles Tendon Allograft]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 24, no. 2, 2010, pp. 235-8.
Shao D, Chen B, Gao S, et al. [Arthroscopic double-bundle posterior cruciate ligament reconstruction using achilles tendon allograft]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2010;24(2):235-8.
Shao, D., Chen, B., Gao, S., Sun, R., Li, H., & Yan, C. (2010). [Arthroscopic double-bundle posterior cruciate ligament reconstruction using achilles tendon allograft]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 24(2), 235-8.
Shao D, et al. [Arthroscopic Double-bundle Posterior Cruciate Ligament Reconstruction Using Achilles Tendon Allograft]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2010;24(2):235-8. PubMed PMID: 20187461.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Arthroscopic double-bundle posterior cruciate ligament reconstruction using achilles tendon allograft]. AU - Shao,Decheng, AU - Chen,Baicheng, AU - Gao,Shijun, AU - Sun,Ran, AU - Li,Han, AU - Yan,Changbao, PY - 2010/3/2/entrez PY - 2010/3/2/pubmed PY - 2010/5/5/medline SP - 235 EP - 8 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 24 IS - 2 N2 - OBJECTIVE: To study the method and clinical results of arthroscopic double-bundle posterior cruciate ligament (PCL) reconstruction using achilles tendon allograft. METHODS: From September 2005 to September 2006, 17 patients with PCL injuries of grade III received arthroscopic double-bundle PCL reconstruction using achilles tendon allograft. There were 12 males and 5 females with an average age of 31.7 years (range, 19-48 years), including 10 cases of left PCL injuries and 7 cases of right PCL injuries. Injury was caused by sports in 6 cases and traffic accident in 11 cases. The average time from injury to surgery was 16 days (range, 7-30 days). The preoperative knee flexion was (121.8 +/- 4.1) degrees. The posterior drawer test was positive and the varus angulation test was negative in all 17 patients. Lysholm score was 50.8 +/- 6.1 and Tegner score was 1.3 +/- 0.7. The side-to-side difference was (10.5 +/- 1.6) mm by KT-1000 arthrometer. RESULTS: The hospitalization were (13.6 +/- 2.4) days. The operation time was (67.8 +/- 9.4) minutes. The time was (5.4 +/- 1.2) days when the body temperature was higher than 37.4 degrees C after operation. All incisions healed by first intention. No complication occurred. All 17 patients were followed up 25 months on average (range, 18-30 months). The knee flexion was (116.9 +/- 3.1) degrees at the final follow-up, showing no significant difference when compared with that of preoperation (P > 0.05). The posterior drawer test and the varus angulation test were negative in all 17 patients. Lysholm score and Tegner score were 91.6 +/- 3.2 and 6.0 +/- 0.7, respectively, and the side-to-side difference was (2.7 +/- 1.7) mm, showing significant differences when compared with those of preoperation (P < 0.05). CONCLUSION: Achilles tendon allograft is fit for PCL reconstruction. Arthroscopic double-bundle posterior cruciate ligament reconstruction using achilles tendon allograft can reconstruct both anterolateral and posteromedial bundles of the PCL. The knee joint function can be restored effectively. The short-term outcome has been proved, but the long-term outcome needs more observations. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/20187461/[Arthroscopic_double_bundle_posterior_cruciate_ligament_reconstruction_using_achilles_tendon_allograft]_ DB - PRIME DP - Unbound Medicine ER -