ARTHROSCOPIC RECONSTRUCTION OF THE KNEE POSTERIOR CRUCIATE LIGAMENT

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Abstract

In this article there were published diagnostic and surgery principles and the clinical results of arthroscopic single bundle posterior cruciate ligament (PCL) reconstruction in patients with chronic PCL instability not responding to conservative treatment. There were treated 27 patients with PCL instability since 2006 till 2010. 10 of 27 patients were available for followup with an average elapsed time of 6,1 years between onset of injury and surgery and an average duration of 1,8 years between reconstruction and evaluation. Although there still is some controversy on the indication for treatment of PCL injury, we conclude on the basis of our findings that arthroscopic reconstruction of symptomatic chronic PCL instability can be greatly beneficial.

About the authors

I. A. Kuznetsov

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздравсоцразвития России

Email: fake@neicon.ru

д.м.н., профессор, заведующий научным отделением спортивной травматологии и реабилитации

Russian Federation

N. N. Volokhovsky

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздравсоцразвития России

Email: fake@neicon.ru
к.м.н., заведующий отделением № 21 Russian Federation

A. V. Rybin

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздравсоцразвития России

Email: fake@neicon.ru

к.м.н., младший научный сотрудник отделения спортивной травматологии и реабилитации

Russian Federation

M. V. Ryabinin

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздравсоцразвития России

Email: fake@neicon.ru
к.м.н., врач травматолог-ортопед отделения № 21 Ukraine

D. A. Shulepov

ФГУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздравсоцразвития России

Author for correspondence.
Email: shulepov@front.ru

клинический ординатор

Russian Federation

References

  1. Campbell, R.B. Arthroscopic tibial inlay for posterior cruciate ligament reconstruction / R.B. Campbell, S.S. Jordan, J.K. Sekiya // Arthroscopy. – 2007 – Vol. 23. – P. 1356.e1-1356.e4
  2. Clancy, W.G. Jr. Combined posterior cruciate ligament injuries / W.G. Clancy Jr., T.B. Sutherland // Clin. Sports Med. – 1994. – Vol. 13, N 3. – P. 629–647.
  3. Clendenin, M.B. Interstitial tears of the posterior cruciate ligament of the knee / M.B. Clendenin, J.C. DeLee, J.D. Heckman // Orthopedics. – 1980. – Vol. 3. – P. 764–772.
  4. Dandy, D.J. The long term results of unrepaired tears of the posterior cruciate ligament / D.J. Dandy, R.J. Pusey // J. Bone Joint Surg. – 1982. – Vol. 64-B. – P. 92–94.
  5. Fanelli, G.C. Posterior cruciate ligament injuries in trauma patients / G.C. Fanelli // Arthroscopy. – 1993. – Vol. 9. – P. 291–294.
  6. Fanelli, G.C. The posterior cruciate ligament arthroscopic evaluation and treatment / G.C. Fanelli, B.F. Giannotti, C.J. Edson // Arthroscopy. – 1994. – Vol. 10, N 6. – P. 673–688.
  7. Fanelli, G.C. Posterior cruciate ligament injuries. A practical guide to management / G.C. Fanelli. – New York : Springer, 2001. – 319 p.
  8. Houe, T. Arthroscopic posterior cruciate ligament reconstruction: one- vs. two-tunnel technique / T. Houe, U. Jorgensen // Scand J. Med Sci Sports. – 2004. – Vol. 14. – P. 107–111.
  9. Keller, P.M. Nonoperatively treated isolated posterior cruciate ligament injuries / P.M. Keller, K.D. Shelbourne, J.R. McCarroll, A.C. Rettig // Am. J. Sports Med. – 1993. – Vol. 12. – P. 132–136.
  10. MacGillivray, J.D. Comparison of tibial inlay versus transtibial techniques for isolated posterior cruciate ligament reconstruction: minimum 2-year follow-up / J.D. MacGillivray [et al.] // Arthroscopy. – 2006. – Vol. 22. – P. 320–328.
  11. Mc Keon, B.P. Knee arthroscopy / B.P. Mc Keon, J.V. Bono, J.C. Richmond. – N.Y. : Springer, 2009. – 202 p.
  12. McAllister, D.R. Diagnosis and teatment of posterior cruciate ligament injuries / D.R. McAllister, F.A. Petrigliano // Current Sports Medicine Reports. – 2007. – Vol. 6. – P. 293–299.
  13. Parolie, J.M. Long term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete / J.M. Parolie, J.A. Bergfeld // Am. J. Sports Med. – 1986. – Vol. 14. – P. 35–38.
  14. Schulz, M.S. Epidemiology of posterior cruciate ligament injuries / M.S. Schulz // Arch. Orthop. Trauma Surg. – 2003. – Vol. 123. – P. 186–191.
  15. Seon, J.K. Reconstruction of isolated posterior cruciate ligament injuries: a clinical comparison of the transtibial and tibial inlay techniques / J.K. Seon, E.K. Song // Arthroscopy. – 2006. – Vol. 22. – P. 27–32.
  16. Torg, J.S. Natural history of the posterior cruciate deficient knee/ J.S. Torg, J.M. Barton // Clin. Orthop. – 1989. – N 24. – P. 208–216.
  17. Trickey, E.L. Injuries to the posterior cruciate ligament / E.L. Trickey // Clin. Orthop. – 1980. – N 147. – P. 76–81.
  18. Wang, C.J. Arthroscopic single- versus doublebundle posterior cruciate ligament reconstructions using hamstring autograft / C.J. Wang, L.H. Weng, C.C. Hsu, Y.S. Chan // Injury. – 2004. – Vol. 35. – P. 1293–1299.
  19. Willems, W.J. Mid-term results of arthroscopic reconstruction in chronic posterior cruciate ligament instability / W.J. Willems, J.M.G.T. Jenner, C.P. van der Hart // Knee Surg. Sports Traumatol. Arthrosc. – 2006. – Vol. 14. – P. 848–853.

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