PCL Reconstruction using Arthroscopic Posterior Transseptal technique

관절경하 후격막 통과 도달법을 이용한 후방 십자 인대의 재건술

  • Kim, Jin-Goo (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Kang, Yeong-Hun (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Kang, Kyoung-Min (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University)
  • 김진구 (인제대학교 서울백병원 정형외과학교실) ;
  • 강영훈 (인제대학교 서울백병원 정형외과학교실) ;
  • 강경민 (인제대학교 서울백병원 정형외과학교실)
  • Published : 2000.12.01

Abstract

Purpose : We reviewed the results of arthroscopic posterior cruciate ligament reconstruction using Achilles tendon allograft, and the efficacy of the surgical technique using gradual tibial tunneling and posterior transseptal technique. Materials and Methods : From september 1997 to September 1999, 8 patients with complete PCL injury were treated by arthroscopic PCL reconstruction using Achilles tendon allograft. Mean follow-up period was 21.7 months. Mean preoperative posterior laxity was 14mm. The clinical outcome was assessed by Telos stress test, Lysholm knee score and IKDC score. Result : There was no complication such as infection and neurovascular injury. Posterior translation using Telos device was less than 5mm in 6 cases$(75\%)$, and between 6 to 10mm in 2 cases$(25\%)$. The mean Lysholm knee score was 45 preoperatively and improved to 87 postoperatively. In IKDC system, 2 of 8 patients were group A and 6 were group B. Conclusion : Arthroscopic PCL reconstruction using achilles tendon allograft and posterior transseptal technique shows reliable stability, short operative time and minimizing donor site morbidity but needs more long term follow-up.