Reconstruction of Posterior Cruciate Ligament and Posterolateral Structure with Allo-Achilles Tendon

동종 아킬레스 건을 이용한 후방 십자 인대 및 후 외방 구조물 재건술

  • Oh, In-Suk (Department of Orthopaedic Surgery, College of Medicine, Inha University) ;
  • Lee, Dong-Joo (Department of Orthopaedic Surgery, College of Medicine, Inha University) ;
  • Cho, Kyu-Jung (Department of Orthopaedic Surgery, College of Medicine, Inha University) ;
  • Kim, Myung-Ku (Department of Orthopaedic Surgery, College of Medicine, Inha University)
  • 오인석 (인하대학교 의과대학 정형외과학교실) ;
  • 이동주 (인하대학교 의과대학 정형외과학교실) ;
  • 조규정 (인하대학교 의과대학 정형외과학교실) ;
  • 김명구 (인하대학교 의과대학 정형외과학교실)
  • Published : 2005.12.31

Abstract

Purpose: The purpose of this study were to evaluate the results of arthroscopic PCL reconstruction and posterolateral structure reconstruction. Materials and Methods: We performed 10 cases of arthrocopic PCL and posterolateral structure reconstruction using allo-achilles tendon. The average follow-up period was 25 months. We performed KT-2000 testing and posterior drawer test for posterior instability and tibial external rotation test for posterolateral rotatory instability, and measure Tegner and Lysholm score preoperatively and compared these with the results of a final evaluation in each cases. Results: The Preoperative average KT-2000 tests was 7.1 mm, posterior drawer test was Grade III and tibial external rotation test was positive at both 30 and 90 degrees of knee flexion in all cases. Preoperative average Lysholm score was 65.9 and Tegner score was 3.1. At the final evaluation, an average KT-2000 test was 2.2 mm, posteior drawer test, Grade 0 was 2 cases, Grade 1.4 cases, Grade II, 3 cases, Grade III, 1 cases. The tibial external rotation test at both 30 and 90 degrees of knee flexion was positive in 1 cases and positive at only 90 degrees in 2 cases. Lysholm score was 87.6 and Tegner score was 5.7. The objective and subjective score of final evaluation is increased in compare with preoperative one. Conclusion: Arthrocopic PCL and posterolateral structure reconstruction using allo-achilles tendon is one of the good surgical treatment method in patients having posterior and posterolateral rotatory instability.