Evaluation of The Result After PCL Reconstruction Using TIBIAL INLAY Method.
- Author:
Dong Chul LEE
1
;
Soon KWON
;
Wook Jin SON
Author Information
1. Department of Orthopedic Surgery, College of medicine Yeungnam University, Taegu, Korea. dclee@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Posterior cruciate ligament;
Reconstruction;
Tibial inlay method
- MeSH:
Humans;
Inlays*;
Knee Joint;
Posterior Cruciate Ligament;
Range of Motion, Articular
- From:Journal of the Korean Knee Society
2002;14(1):82-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate postoperative knee joint function, activity, stability and complications of the patients who had taken PCL reconstruction with tibial inlay method which has the advantages of firm tibial fixation and no killer turn. METHODS: From August 1998 to September 2000, tibial inlay method of PCL reconstruction was used in 20 patients who could be followed over 15 months. The Lysholm score and Tegner activity score was applied for the function and activity of the patients, KT-2000 arthrometer and posterior stress X-ray was used for the stability of the knee joint. RESULTS: 1) Lysholm score: the mean value of the preoperative score was 40.7 and the postoperative score was 83.8(Excellent 3, Good 9, Fair 7, Poor 1). 2) Tegner activity score: 1.9 of preoperative score was improved to 3.8. 3) The posterior displacement on the preoperative stress X-ray to compare with normal side showed 17 cases of grade III, 3 of grade IV(mean 13.6 mm). The postoperative posterior displacement showed 16 cases of grade I, 4 of grade II( mean 3.6 mm). 4) The side to side difference of KT -2000 arthrometer between affected and normal side was 2.4 mm under loading of 20 lb. 5) The difference of Quadriceps circumference between normal and affected side was 2.2cm and post-operative range of motion revealed slight extension limitation (10 degrees) in reconstruction group. CONCLUSION: Although disadvantages of inlay method are technical difficulty and risk of neurovascular injury and intraoperative positioning, tibial inlay method is thought to be an excellent option for PCL reconstuction with its advantages no killer turn and firm tibial fixation.
