Arthroscopic augmentation of posterior cruciate ligament with suture fixation
- VernacularTitle:关节镜下缝线加强治疗后交叉韧带损伤
- Author:
Xiaoqiao HUANGFU
;
Jinzhong ZHAO
;
Xingguang YANG
- Publication Type:Journal Article
- Keywords:
Posterior cruciate ligament (PCL);
Arthrescopy;
Sutures
- From:
Chinese Journal of Orthopaedic Trauma
2008;10(7):601-604
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the outcome of augmentation of posterior cruciate ligament (PCL) using suture fixation technique. Methods Thirteen cases of simple PCL raptures were treated arthroscopically with suture fixation to maintain tibial neutralization and augment PCL. The patients were followed up for 12 to 18 months. The IKDC and Lysholm knee score were used for function evaluation. The posterior knee laxity was examined by KT-1000. Results There was no limitation to knee extension.Knee flexion was between 120° and 140°, with an average of 128°. The final IKDC grade was A in 6 cases and B in 7 cases. The IKDC subjective score increased from preoperative 67.4±3. 3 to postoperative 92.5±4. 5 (t=9. 837, P < 0. 01) . The average side-to-side difference in maximal manual test with KT-1000 arthremeter at 90° flexion decreased from 8. 1±1.7 mm to 2.0±1.3 mm ( t = 12. 230, P < 0. 01) . The Lysholm score in the 4 chronic cases was 87.5±3. 1 before surgery and 95.8±3.5 at the last follow-up( t = 5. 376, P < 0.01 ). Conclusion In some cases of PCL injury, excellent clinical results and good posterior stability can be achieved by augmentation of the tom PCL using suture fixation technique.
