Complications of PCL Reconstruction using Tibial Inlay Technique

경골 Inlay 방법을 이용한 후방 십자 인대 재건술의 합병증

  • Kim Myung-Ho (Department of Orthopaedic Surgery, College of Medicine, Dankook University) ;
  • Park Hee-Gon (Department of Orthopaedic Surgery, College of Medicine, Dankook University) ;
  • Yoo Moon-Jib (Department of Orthopaedic Surgery, College of Medicine, Dankook University) ;
  • Byun Woo-Sup (Department of Orthopaedic Surgery, College of Medicine, Dankook University) ;
  • Shim Shang-Ho (Department of Orthopaedic Surgery, College of Medicine, Dankook University)
  • 김명호 (단국대학교 의과대학 정형외과학교실) ;
  • 박희곤 (단국대학교 의과대학 정형외과학교실) ;
  • 유문집 (단국대학교 의과대학 정형외과학교실) ;
  • 변우섭 (단국대학교 의과대학 정형외과학교실) ;
  • 심상호 (단국대학교 의과대학 정형외과학교실)
  • Published : 2004.10.01

Abstract

Purpose: This study was planned to evaluate complications? of posterior cruciate ligament (PCL) reconstruction with tibial inlay technique using autogenous bone-patellar tendon-bone graft. Materials and Methods: From September 1994 to January 2004, we analyzed surgical complications in fifty-seven patients with fifty-eight cases who underwent PCL reconstruction. Fifty of them were male and seven female. The mean age of the patients was 35(15$\~$73). Twenty eight cases of injury were isolated PCL, while thirty cases had associated injury of knee. The causes of injury were thirty-nine cases of traffic accident, seven sport injuries, seven fall down injuries, and five of others. The follow-up study was done at 4 weeks, 3 months,6 months and 1 year after surgery. KT-2000 arthrometer and posterior stress X-ray were used to examine the stability of the knee joint and the Lysholm Knee Score and a variety of clinical complications were evaluated. Results: Although the mean score of the preoperative Lysholm Knee Score was 43.2, the postoperative score was increased to 87.9. The preoperative mean value of knee stability using KT-2000 arthrometer was 8.75 mm(6.2$\~$14.3 mm) but the postoperative mean was 3.41 mm(2.1$\~$10.6 mm). The intraoperative complications were: one case of popliteal artery injury with compartment syndrome, one case of patellar fracture, two cases of 20$^{\circ}$ flexion loss, and two cases of anterior cortical penetration of the screw through proximal tibia during screw fixation. The postoperative complications were: eleven cases of knee instability, one case of patellar fracture, five cases of extension loss, thirteen cases of flexion loss, twenty-one cases of around knee pain and eight cases of kneeling pain. Conclusion: After PCL reconstruction with tibial inlay technique using autogenous bone-patella tendon-bone graft, complications were observed in this study. Careful attention during and after the operation, as well as rehabilitation must be required.