• Title/Summary/Keyword: 외측 및 후외측 불안정성

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The Result of the Arthroscopic Reconstruction of Posterior Cruciate Ligament with Autogenous or Allogenous Graft (자가 또는 동종 이식물을 이용한 후방 십자 인대 재건술 후의 결과)

  • Chon Je-Gyun;Kim Eui-Soon;Choi Bo-Yeul;Yoon Chang-Hoon;Lee Jeong-Woung;Sun Doo-Hoon;Moon Myung-Sang
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.74-79
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    • 2001
  • Purpose : The purpose of this study is to evaluate the clinical results after arthroscopic PCL reconstruction and to compare the clinical results after arthroscopic PCL reconstruction using BPTB(bone patellar tendon bone) autograft(Group I : 11 cases), Achilles tendon allograft(Group II : 7 cases) and BPTB allograft(Group 111.6 cases). Materials and Methods : We reviewed the result of 24 patients who had been managed with arthroscopic reconstruction using different graft materials such as BPTB autograft, Achilles tendon allograft and BPTB allograft. Twenty-four patients(average age, 37 years) with PCL rupture were retrospectively evaluated more than one year(average, 31 months) after having arthroscopic posterior cruciate ligament reconstruction. The clinical results were evaluated by IKDC ligament standard evaluation form, using $KT-2000^{TM}$ knee ligament arthrometer and also evaluated Lysholm knee scoring scale. Results : The final evaluation was nearly normal in 11 patients($45\%$ in Group I, $43\%$ in Group II, $50\%$ in Group III). The corrected posterior sagging was abnormal(side to side difference more than 6mm) in 8 patients($36\%$ in Group I, $29\%$ in Group II, $33\%$ in Group III). We could not find significant difference among three groups by IKDC scale. Conclusion : Comparing with other reports, our overall results were not satisfactory. And also, we could not find any remarkable difference among the three groups. Further research is necessary to evaluate new surgical approaches as well as improved techniques for capsular and collateral ligament injuries.

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