Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries

Objective: The aim of this study is to report our institution's experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction. Methods: Records of 17 patients who underwent PCL reconstruction with tibial inlay technique were retrospectively reviewed. Patients with ipsilateral femoral or tibial osteochondral avulsion fractures or ipsilateral concomitant tibia and femur shaft fractures were excluded. Out of these 17 patients, six cases underwent anterior cruciate ligament (ACL) + PCL reconstruction, nine cases underwent ACL+ PCL + posterolateral corner reconstruction, one case underwent ACL + PCL + MCL reconstruction and one case underwent ACL+ PCL + posterolateral corner + MCL reconstruction. Mean follow-up was 14.27±6.77 (range: 6-30) months. Results: In preoperative assessments, all patients had 3+ posterior laxity in posterior drawer test; at final follow-up, 6 patients had 0 laxity, 7 patients had 1+ laxity, and 4 patients had 2+ laxity (p<0.001). International Knee Documentation Committee (IKDC) objective evaluation showed severe disability in all patients preoperatively, whereas 5 knees were grade A, 8 knees were grade B, 3 knees were grade C, and 1 knee was grade D at final follow-up. Mean IKDC subjective score was 75.22±7.53 at final follow-up. Postoperatively, mean side-to-side difference in KT-1000 arthrometer measurement was 2.45±1.80 mm. At final follow-up, mean range of motion (ROM) was 0° on extension and 123.56±6.31° on flexion. Conclusion: Open tibial inlay approach is beneficial during PCL reconstruction. Further study is warranted to establish its effectiveness on functional outcomes and prevention of complications. © 2015 Turkish Association of Orthopaedics and Traumatology.

Yazar Zehir S.
Elmali N.
Sahin E.
Çalbiyik M.
Karakaplan M.
Tasdemir Z.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/7072
Tek Biçim Adres 10.3944/AOTT.2015.14.0443
Konu Başlıkları Knee ligament injury
Posterior cruciate ligament
Tibial inlay
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
Dergi Adı Acta Orthopaedica et Traumatologica Turcica
Dergi Cilt Bilgisi 49
Dergi Sayısı 6
Sayfalar 579 - 585
Yayın Yılı 2015
Eser Adı
[dc.title]
Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries
Yazar
[dc.contributor.author]
Zehir S.
Yazar
[dc.contributor.author]
Elmali N.
Yazar
[dc.contributor.author]
Sahin E.
Yazar
[dc.contributor.author]
Çalbiyik M.
Yazar
[dc.contributor.author]
Karakaplan M.
Yazar
[dc.contributor.author]
Tasdemir Z.
Yayın Yılı
[dc.date.issued]
2015
Yayıncı
[dc.publisher]
Ekin Medical Publishing
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: The aim of this study is to report our institution's experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction. Methods: Records of 17 patients who underwent PCL reconstruction with tibial inlay technique were retrospectively reviewed. Patients with ipsilateral femoral or tibial osteochondral avulsion fractures or ipsilateral concomitant tibia and femur shaft fractures were excluded. Out of these 17 patients, six cases underwent anterior cruciate ligament (ACL) + PCL reconstruction, nine cases underwent ACL+ PCL + posterolateral corner reconstruction, one case underwent ACL + PCL + MCL reconstruction and one case underwent ACL+ PCL + posterolateral corner + MCL reconstruction. Mean follow-up was 14.27±6.77 (range: 6-30) months. Results: In preoperative assessments, all patients had 3+ posterior laxity in posterior drawer test; at final follow-up, 6 patients had 0 laxity, 7 patients had 1+ laxity, and 4 patients had 2+ laxity (p<0.001). International Knee Documentation Committee (IKDC) objective evaluation showed severe disability in all patients preoperatively, whereas 5 knees were grade A, 8 knees were grade B, 3 knees were grade C, and 1 knee was grade D at final follow-up. Mean IKDC subjective score was 75.22±7.53 at final follow-up. Postoperatively, mean side-to-side difference in KT-1000 arthrometer measurement was 2.45±1.80 mm. At final follow-up, mean range of motion (ROM) was 0° on extension and 123.56±6.31° on flexion. Conclusion: Open tibial inlay approach is beneficial during PCL reconstruction. Further study is warranted to establish its effectiveness on functional outcomes and prevention of complications. © 2015 Turkish Association of Orthopaedics and Traumatology.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Knee ligament injury
Konu Başlıkları
[dc.subject]
Posterior cruciate ligament
Konu Başlıkları
[dc.subject]
Tibial inlay
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1017995X
İlk Sayfa Sayısı
[dc.identifier.startpage]
579
Son Sayfa Sayısı
[dc.identifier.endpage]
585
Dergi Adı
[dc.relation.journal]
Acta Orthopaedica et Traumatologica Turcica
Dergi Sayısı
[dc.identifier.issue]
6
Dergi Cilt Bilgisi
[dc.identifier.volume]
49
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.3944/AOTT.2015.14.0443
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/7072
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
20
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
03 Şubat 2024 17:36
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Tıklayınız
patients reconstruction underwent follow-up laxity tibial posterior corner posterolateral ipsilateral fractures cruciate technique ligament disability preoperatively whereas arthrometer KT-1000 difference side-to-side Postoperatively subjective measurement prevention warranted establish effectiveness functional outcomes complications during Turkish Association Orthopaedics
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