Modified Technique of Arthroscopic Posterior Cruciate Ligament Reconstruction

Abstract


Basing on the anatomic examination results the main principles of safe bone tunnels formation at arthroscopic plasty of posterior cruciate ligament (PCL) were formulated. Additional instrumentation of original design and original surgical technique directed to minimization of the risk of popliteal artery injury at tibial bone tunnel formation were proposed. During the period from 2010 through 2013 twenty one patients with PCL injuries were operated on at endoscopic surgery department. In 20 n patients treatment results were assessed in 6 and 12 months after intervention. Evaluation was performed by clinical results, IKDC forms, Lysholm - Gillquist score and visual pain scale. Preoperatively mean point by IKDC questionnaires was 46.80±18.07, by Lysholm - Gillquist score - 51.62±20.34 and in 6 months postoperatively - 68.64±10.13 and 73.84±11.16, respectively, that was statistically significant higher than prior to operation (p<0.05). One year after intervention positive dynamics was present (p<0.01): mean point by IKDC made up 77.23±8.03, by Lysholm - Gillquist - 81.08±8.64. Evaluation result by IKDC form was recognized in 11 (55%) patients as good (group A), in 6 (30%) - as close to good (group B), in 2 (10%) - as satisfactory (group C) and in 1 patient - as poor (group D). The use of perfected technique enabled to decrease the duration of surgical intervention by 27 minutes at average but the long-term treatment results were as good as after standard surgical intervention.

About the authors

I. A Kuznetsov

Russian Scientific-Research Institute of Traumatology and Orthopaedics named after R.R. Vreden, St. Petersburg, Russia


N. F Fomin

Russian Scientific-Research Institute of Traumatology and Orthopaedics named after R.R. Vreden, St. Petersburg, Russia


D. A Shulepov

Russian Scientific-Research Institute of Traumatology and Orthopaedics named after R.R. Vreden, St. Petersburg, Russia

Email: shulepov@front.ru

M. V Ryabinin

Russian Scientific-Research Institute of Traumatology and Orthopaedics named after R.R. Vreden, St. Petersburg, Russia


Yu. N Orlov

Russian Scientific-Research Institute of Traumatology and Orthopaedics named after R.R. Vreden, St. Petersburg, Russia


M. R Salikhov

Russian Scientific-Research Institute of Traumatology and Orthopaedics named after R.R. Vreden, St. Petersburg, Russia


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Copyright (c) 2014 Kuznetsov I.A., Fomin N.F., Shulepov D.A., Ryabinin M.V., Orlov Y.N., Salikhov M.R.

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