Double-bundle PCL reconstruction using tibial double cross-pin fixation

Hong Chul Lim, Ji Hoon Bae, Joon Ho Wang, Jae Hyuk Yang, Chang Woo Seok, Hak Jun Kim, Seung Joo Kim

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The purpose of this study was to assess the clinical results of arthroscopic double-bundle posterior cruciate ligament (PCL) reconstruction using double cross-pin fixation on the tibial side. Twenty-two patients who underwent PCL reconstruction using an Achilles tendon allograft with double cross-pins for tibial fixation were evaluated. There were 19 men and 3 women with mean age 36 years (range 18-59), and the average follow-up period was 33 months (range 24-60). Preoperative and postoperative knee functions were evaluated in all patients using Lysholm knee scores, the 2000 International Knee Documentation Committee (IKDC) grades, and Tegner activity scores. Median Lysholm knee scores were 64 (50-75) preoperatively and 88 (82-96), 89.9 ± 6.5 postoperatively (P < 0.001). Median side-to-side differences, determined using Telos stress radiographs, were 11 mm (8-14) preoperatively, and 3 mm (1-7) at final follow-up visits (P < 0.01). According to KT-2000 arthrometer measurements, mean side-to-side differences were 11 mm (8-13) preoperatively and 3 mm (1-6, P < 0. 01) at final follow-up visits (P < 0.01). Preoperatively the 2000 IKDC evaluation system rated all patients as abnormal or severely abnormal (C or D), and at final follow-up visits, 20 patients (88%) were rated as normal or nearly normal (A or B) and 2 patients (12%) were rated as abnormal (C). Median preinjury and preoperative Tegner scores were 7 (range 5-9) and 3 (range 2-5), respectively, and the mean postoperative Tegner score was 6 (range 3-9). There were no intraoperative or postoperative complications. Our study shows that arthroscopic double-bundle PCL reconstruction using an Achilles allograft with double cross-pins for tibial fixation provides satisfactory clinical results given a mean follow-up of 33 months. We believe that this method provides a reliable alternative technique of PCL reconstruction.

Original languageEnglish
Pages (from-to)117-122
Number of pages6
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume18
Issue number1
DOIs
Publication statusPublished - 2009 Jan 1

Fingerprint

Knee
Documentation
Allografts
Achilles Tendon
Intraoperative Complications
Posterior Cruciate Ligament Reconstruction
Lysholm Knee Score

Keywords

  • Achilles tendon allograft
  • Cross-pin fixation
  • Double-bundle reconstruction
  • Posterior cruciate ligament
  • RigidFix

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Double-bundle PCL reconstruction using tibial double cross-pin fixation. / Lim, Hong Chul; Bae, Ji Hoon; Wang, Joon Ho; Yang, Jae Hyuk; Seok, Chang Woo; Kim, Hak Jun; Kim, Seung Joo.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 18, No. 1, 01.01.2009, p. 117-122.

Research output: Contribution to journalArticle

Lim, Hong Chul ; Bae, Ji Hoon ; Wang, Joon Ho ; Yang, Jae Hyuk ; Seok, Chang Woo ; Kim, Hak Jun ; Kim, Seung Joo. / Double-bundle PCL reconstruction using tibial double cross-pin fixation. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2009 ; Vol. 18, No. 1. pp. 117-122.
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