Clinical and Radiologic Results of Transtibial Single Bundle Reconstruction and Double Bundle Reconstruction of the Posterior Cruciate Ligament Using the Allo-achilles Tendon

Yeo-seung Yoon; Doo-sup Kim; Jong-se Jeon; Dong-hyun Kang; Chang-ho Lee

doi:10.4055/jkoa.2010.45.4.293

Journal List > J Korean Orthop Assoc > v.45(4) > 1013006

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Yoon, Kim, Jeon, Kang, and Lee: Clinical and Radiologic Results of Transtibial Single Bundle Reconstruction and Double Bundle Reconstruction of the Posterior Cruciate Ligament Using the Allo-achilles Tendon

Original Article

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2010; 45(4): 293-300.

Published online: 9 August 2010

DOI: https://doi.org/10.4055/jkoa.2010.45.4.293

Clinical and Radiologic Results of Transtibial Single Bundle Reconstruction and Double Bundle Reconstruction of the Posterior Cruciate Ligament Using the Allo-achilles Tendon

Yeo-seung Yoon, M.D., Doo-sup Kim, M.D., Jong-se Jeon, M.D., Dong-hyun Kang, M.D., Chang-ho Lee, M.D.

Department of Orthopedic Surgery, Won-ju College of Medicine, Yonsei University, Wonju, Korea.

Correspondence to: Doo-sup Kim, M.D. Department of Orthopedic Surgery, Won-ju College of Medicine, Yonsei University, 162, Ilsan dong, Wonju 220-701, Korea. TEL: +82-33-741-1357, FAX: +82-33-746-7326, dskim1974@hanmail.net

Received 28 October 2009 Accepted 13 February 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We performed transtibial single and double bundle reconstruction of the posterior cruciate ligament using the allo-achilles tendon and compared the results of single bundle reconstruction and double bundle reconstruction both clinically and radiologically.

Materials and Methods

This study included 41 cases of posterior cruciate ligament reconstruction between February 2000 and June 2007 that had data available for at least 2 years of follow-up. Twenty-two cases (53.7%) underwent single bundle reconstruction and 19 cases (46.3%) underwent double bundle reconstruction. Clinical results were analyzed by Lysholm score and IKDC standards scale, and the radiologic results were analyzed by the Telos® posterior translation test.

Results

The average Lysholm score at last follow-up was 85.4±4.7 in the single bundle group and 87.5±5.1 in the double bundle group. IKDC scores were grade A in 4 (18.2%), grade B in 14 (63.6%) and grade C in 4 (18.2%) in the single bundle group; they were 1 (15.3%), 15 (78.9%) and 3 (15.8%) in the double bundle group. Telos® posterior translation test scores were 5.06 mm (3.04-7.43 mm) in the single bundle group, and 4.04 mm (2.18-7.20 mm) in the double bundle group. There was significant improvement in clinical and radiological scores in both groups (p<0.001). However, these differences were not statistically significant (p>0.05).

Conclusion

Further study with longer term follow-up is needed.

Keywords: posterior cruciate ligament, double bundle, allo-achilles tendon

Figures and Tables

Figure 1

Schematic views indicate femoral tunnel of posterior cruciate ligament reconstruction with single bundle technique (A, B). Postoperative radiographs and arthroscopic view show reconstructed posterior cruciate ligament with single bundle technique (C).

Figure 2

Schematic views indicate femoral tunnel of posterior cruciate ligament reconstruction with double bundle technique (A, B). Postoperative radiographs and arthroscopic view show reconstructed posterior cruciate ligament with double bundle technique (C).

Table 1

Postoperative Physical Examination of Both Groups

Table 2

Comparison of Knee Rating Scale between Two Groups

Table 3

Posterior Translation on Posterior Draw Test of Telos®

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