OUTCOME OF SIMULTANEOUS ARTHROSCOPIC ANTERIOR CRUCIATE LIGMENT AND POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH HAMSTRING TENDON AND PERONEUS LONGUS TENDON AUTOGRAFT

Dương Đình Toàn1,2,, Lê Mạnh Sơn2
1 Hanoi Medical University
2 Vietnam-Germany Friendship Hospital

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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.

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References

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