Arthrocopic Reconstruction of the Posterior Cruciate Ligment: The Effects of femoral attachment points and knee flexion angles at the time of graft fixation on posterior stability
10.4055/jkoa.1995.30.5.1164
- Author:
Sung Il BIN
;
Key Yong KIM
;
Woo Shin CHO
;
Ki Kwang CHEONG
;
Woo Yeon HWANG
;
Jong Hi PARK
- Publication Type:Original Article
- Keywords:
Posterior cruciate ligament;
Arthroscopic reconstruction;
Femoral attachment point;
Knee flexion angles
- MeSH:
Chungcheongnam-do;
Humans;
Knee;
Ligaments;
Posterior Cruciate Ligament;
Transplants
- From:The Journal of the Korean Orthopaedic Association
1995;30(5):1164-1170
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study is to compare the effects of the femoral attachment points of the graft and knee flexion angles at the time of graft fixation on stability of posterior cruciate ligament reconstruction. We analyzed the posterior stability of the knee on 23 patients(24 knees) with posterior cruciate ligament injury whose posterior cruciate ligament had been reconstructed arthroscopically and followed for minimum 1 year period at Asan Medical Center from May 1992 to June 1994. The patients were divided into the two groups according to femoral attachment points of the graft and knee flexion angles at the time of graft fixation. The distance from the junction of the intercondylar notch with trochlear groove of the femoral attachment points and knee flexion angles were 11mm and 0°-30° in group A and 7mm and 70°-90° in group B, respectively. 11 knees were included in group A and 13 knees in group B. Posterior stability was determined by difference in posterior tibial translation between the injured and the opposite knee with Telos device. In group A, 5 cases were at the range of 0-2mm, 3 cases 3-5 mm, 3 cases 6-10mm. In group B, 10 cases were at the range of 0-2mm and 3 cases 3-5mm, respectively. Differences in posterior tibial translation on average were 3.6mm and 1.7mm in group A and B, respectively. Conclusively, arthroscopic postrior cruciate ligament reconstruction with femoral attachment point at 7mm from the junction of interconlylar notch with trochlear groove and 70°
