J Korean Arthrosc Soc.  2013 Feb;17(1):24-30.

Posterior Cruciate Ligament Augmentation Using an Autogenous Hamstring Tendon Graft and the Posterior-Posterior Triangulation Technique

Affiliations
  • 1Department of Orthopedic Surgery, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea. yjkim1@wonkwang.ac.kr
  • 2So-mang Orthopedic Clinic, Gunsan, Korea.
  • 3Department of Pharmacy, Rutgers University, Newjersey, USA.

Abstract

PURPOSE
To evaluate the outcome of arthroscopic posterior cruciate ligament (PCL) augmentation using an autogenous hamstring tendon graft and the posterior-posterior triangulation technique with preservation of ligament remnant or elongated ligament.
MATERIALS AND METHODS
From January 2002 to December 2009, we performed PCL augmentation using an autogenous hamstring tendon graft and the posterior-posterior triangulation technique in 32 patients. The mean age was 35.2 years. Twenty two cases were male and 10 cases were female. Average follow-up period was 5 years and 5 months (range: 2-7.9). Subjective and objective parameters were utilized in analyses, such as the mean range of motion, post. drawer test, Lysholm knee score, Tegner activity score, International Knee Documentation Cominittee (IKDC) grade, and second look arthroscopic examination.
RESULTS
At last follow up posterior displacement by the Telos stress test decreased from 10.8+/-5.1 mm to 2.8+/-3.7 mm (p<0.05). The final Lysholm knee score improved from 60.4+/-5.8 to 84.6+/-4.8. Tegner activity score improved from 3.2 to 4.8. The final IKDC grade was A in 18, B in 11, C in 3. Postoperative Lysholm knee score, IKDC grades, Tegner activity scale, and posterior displacement demonstrated statistically significant improvement compared to the preoperative state (p<0.05).
CONCLUSION
Arthroscopic PCL reconstruction using an autogenous hamstring tendon with preservation of ligament remnant showed a good clinical results and posterior stability.

Keyword

Posterior cruciate ligament augmentation; Posterior-Posterior triangulation technique; Remnant preservation; Autogenous hamstring tendon graft

MeSH Terms

Displacement (Psychology)
Exercise Test
Female
Follow-Up Studies
Humans
Knee
Ligaments
Male
Posterior Cruciate Ligament
Range of Motion, Articular
Tendons
Transplants
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