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Single-bundle transtibial posterior cruciate ligament reconstruction using a bioabsorbable cross-pin tibial back side fixation

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The purpose of this study was to examine a developed surgical technique by performing a mid-term evaluation of clinical and stability results and complications.

Methods

Thirty patients who underwent transtibial posterior cruciate ligament (PCL) reconstruction using a bioabsorbable cross-pin tibial back side fixation method were enrolled in this prospective study. Lysholm and International Knee Documentation Committee (IKDC) knee scales were used to evaluate clinical outcomes. Stability was evaluated using a Telos device with a 150 N force at 90 degrees of knee flexion. Follow-up magnetic resonance imaging (MRI) was also performed in 20 (66.7%) patients, and complications were evaluated. Those with complication by MRI were assigned to an abnormal MRI group.

Results

The follow-up period was 47 (range, 25–62) months. On comparing preoperative and final follow-up clinical results, Lysholm and IKDC knee scale scores were found to have improved significantly (P < 0.001). The mean side-to-side difference in posterior translation measured using a Telos device was 13.4 ± 3.1 mm (range 10–20 mm) preoperatively and 3.2 ± 1.5 mm (range 1–7 mm) at last follow-up, which represented a significant improvement in stability (P < 0.001). Five patients showed cyst formation in the tibial tunnel and two patients showed a significant signal increase at the anterior portion of the tibial tunnel, which was believed to indicate a pro-cystic status. The normal and abnormal MRI groups had similar Lysholm and IKDC knee scale scores and stress radiographs (P > 0.05).

Conclusions

Single-bundle transtibial PCL reconstruction using a bioabsorbable cross-pin tibial back side fixation was found to produce satisfactory clinical and stability results. However, despite these satisfactory results, a potential complication of tibial cyst formation was observed.

Level of evidence

Case series, Level IV.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Jin Hwan Ahn, Moon Jong Chang & Do Kyung Lee

  2. Department of Orthopedic Surgery, Gachon University Dongincheon Gil Hospital, Gachon Medical School, Gachon University, 117, Yong-dong, Jung-gu, Incheon, 400-713, Republic of Korea

    Yong Seuk Lee

  3. Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Sang-Hee Choi

Authors
  1. Jin Hwan Ahn
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  2. Yong Seuk Lee
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  3. Sang-Hee Choi
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  4. Moon Jong Chang
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  5. Do Kyung Lee
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Correspondence to Yong Seuk Lee.

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Ahn, J.H., Lee, Y.S., Choi, SH. et al. Single-bundle transtibial posterior cruciate ligament reconstruction using a bioabsorbable cross-pin tibial back side fixation. Knee Surg Sports Traumatol Arthrosc 21, 1023–1028 (2013). https://doi.org/10.1007/s00167-011-1769-5

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  • DOI: https://doi.org/10.1007/s00167-011-1769-5

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