Treatment of Ruptured Posterior Cruciate Ligament using Augmentation of the Synthetic Polyester Prosthetic Ligament

Synthetic Polyester Prosthetic Ligament 보강술을 이용한 후방 십자 인대 손상의 치료

  • Sohn, Sung-Won (Department of Orthopedic Surgery, Dongsan Medial Center, Keimyung University) ;
  • Jeon, Si-Hyun (Department of Orthopedic Surgery, Dongsan Medial Center, Keimyung University) ;
  • Park, Jin-Uck (Department of Orthopedic Surgery, Dongsan Medial Center, Keimyung University)
  • 손승원 (계명대학교 의과대학 동산의료원 정형외과학교실) ;
  • 전시현 (계명대학교 의과대학 동산의료원 정형외과학교실) ;
  • 박진욱 (계명대학교 의과대학 동산의료원 정형외과학교실)
  • Published : 2002.12.01

Abstract

Purpose : The purpose of this study was to assess the clinical outcomes and radiological changes of arthroscopic augmentation with synthetic polyester ligament for posterior cruciate ligament injury Materials and Methods : The assessment was made among 60 patients who underwent arthroscopic augmentation with synthetic polyester ligament (ABC ligament, Surgicraft, U.K.) into the substance of ruptured PCL proper under the arthroscopic control from January, 1990 to January, 1996 and whose follow-up period was more than 5 years (average 7.8 years). The results were analyzed by using the posterior stress radiographs by Telos stress device, KT-2000 arthrometer and the clinical assessment by using Lysholm knee score. Results : The average difference of posterior displacement on stress radiographs were 13.2 mm preperatively and 3.6 mm at last follow up. Both knee showed minimal difference on KT-2000 arthrometer (0.7 mm on 20 lb) at the last follow-up. The mean Lysholm knee score was 49.2 preoperatively and improved to 84.3 post-operatively. Conclusion : Authors observed that long-term results of arthroscopic augmentation with synthetic polyester ligament for PCL injury were similar with those using human allograft. Taking these results into consideration, the synthetic polyester ligament is assumed to be a method of treatment of the PCL injury.