Gait Analysis After Posterior Cruciate Ligament Reconstruction Using Fresh-Frozen Achilles Allograft

신선 동결 아킬레스 동종건을 이용한 후방십자인대 재건술 후 보행분석

  • Chun, Churl-Hong (Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital) ;
  • Cho, Jae-Deuk (Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital) ;
  • Chun, Keun-Churl (Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital)
  • 전철홍 (원광대학교 의과대학 정형외과학교실) ;
  • 조재득 (원광대학교 의과대학 정형외과학교실) ;
  • 전근철 (원광대학교 의과대학 정형외과학교실)
  • Published : 2009.10.31

Abstract

Purpose: The purpose of this study was to analyze the clinical result and the gait patterns for patients who had undergone the arthroscopic posterior cruciate ligament (PCL) reconstruction using Achilles allograft. Materials and Methods: Among the patient who had undergone the arthroscopic PCL reconstruction using fresh-frozen Achilles allograft between March 2004 to March 2005, we selected 12 patients who compliance to our rehabilitation program. Clinical result and gait analysis were carried out at 36 months postoperatively. There were measured by using range of motion (ROM), Lysholm knee score, Tegner activity score, IKDC score, posterior stress test, and posterior translation measured by using Telos stress arthrometer. Kinematic gait analysis was carried out using 3-dimensional gait analysis system. Results: The PCL reconstruction surgery yielded statistacally significant results in all of clinical evaluation. In gait analysis, the average knee flexion angle increased during stance phase and decreased during the swing phase, but was not statistically significant and there were no significant difference between both sides of their knees overall. Conclusion: Since there was no statistically significant difference between the injured and uninjured sides as a result of the gait evaluation of the patients who had arthroscopic reconstruction surgery on their PCL injured knee and conformed to the rehabilitation program, systemic and strict rehabilitation ought to be important in the reconstruction surgery.