OUTCOME OF SIMULTANEOUS ARTHROSCOPIC ANTERIOR CRUCIATE LIGMENT AND POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH HAMSTRING TENDON AND PERONEUS LONGUS TENDON AUTOGRAFT
Main Article Content
Abstract
Background: Multiligamentous injuries of knee are a complex problem in orthopaedics. Combined ACL-PCL injuries are uncommon, usually associated with knee dislocations. These complex injuries require a systematic evaluation and treatment. Objectives: To evaluate functional outcome of simultaneous arthroscopic ACL and PCL reconstruction with semitendinosus and partial peroneus longus tendon autograft in multiligamentous knee injuries. Patients and Methods: This prospective study was performed on 32 patients with combined ACL-PCL injuries who underwent simultaneous arthroscopic ACL-PCL reconstruction with semitendinosus and partial peroneus longus tendon. Evaluation of functional outcome was by IKDC and Lysholm scores. Results: In 32 patients, mean age 35 years, return to full-time work and to full sports was 9,5 weeks and 9,7 months respectively. 28/32 patients had full range of motion, 4 patients with < 5 degrees exion loss; 89% had negative Lachmann test; 93% had negative pivot shift and 11% patients had mild posterior drawer. Mean IKDC score was 88 (79-92; mean Lysholm knee score was 85 (73-90). 85% returned to preinjury activity. Conclusions: Simultaneous arthroscopic ACL and PCL reconstructions using semitendinosus and partial peroneus longus tendon for combined ACL and PCL injuries is a procedure with better patient compliance and reproducible for a timely return of motion, strength, and function with favorable outcome.
Article Details
Keywords
Arthroscopic, Simultaneous ACL/PCL Reconstruction, Cruciate
References
2. Klimkiewicz JJ, Petrie RS, Harner CD. Surgical treatment of com- bined injury to anterior cruciate ligament, posterior cruciate liga- ment, and medial structures. Clin Sports Med. 2000;19(3):479–92.
3. Liow RY, McNicholas MJ, Keating JF, Nutton RW. Ligament repair and reconstruction in traumatic dislocation of the knee. J Bone Joint Surg Br. 2003;85(6):845–51.
4. Wong CH, Tan JL, Chang HC, Khin LW, Low CO. Knee dislocations-a retrospective study comparing operative versus closed immobi- lization treatment outcomes. Knee Surg Sports Traumatol Arthrosc. 2004;12(6):540
5. Wascher DC, Becker JR, Dexter JG, Blevins FT. Reconstruction of the anterior and posterior cruciate ligaments after knee disloca- tion. Results using fresh-frozen nonirradiated allografts. Am J Sports Med. 1999;27(2):189–96.
6. Mariani PP, Margheritini F, Camillieri G. One-stage arthroscopi- cally assisted anterior and posterior cruciate ligament recon- struction. Arthroscopy. 2001;17(7):700–7. Richter M, Bosch U, Wippermann B, Hofmann A, K
7. Fanelli GC, Edson CJ. Conbined PCL posterolateral reconstructions with Achilles tendon allograft and biceps femoris tendon tenodesis: 2- to 10-year follow-up. Arthros- copy. 2004; 20(4): 339–45.