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[Arthroscopic double-bundle posterior cruciate ligament reconstruction using achilles tendon allograft].

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

Department of Joint Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051, P.R. China. shaodecheng@yahoo.com.cnNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -