The clinical relevance of PCL index on the reconstruction of anterior cruciate ligament with hamstring tendon autograft

  • Bruno Pombo
  • Ana Cristina Ferreira
  • Pedro Marques
Original Article • KNEE - ARTHROSCOPY


The posterior cruciate ligament index (PCL index) has been reported as a diagnostic and prognostic marker for anterior cruciate ligament (ACL) reconstruction. The clinical relevance of PCL index on the reconstruction of ACL with hamstring tendon autograft has not been described in the literature. The objective of this study is to evaluate the importance of the PCL index as a marker of anatomic reconstruction and of functional improvement of patients undergoing ACL reconstruction with HT autograft. Twenty-four patients were submitted to ACL reconstruction with HT autograft. The PCL index was assessed by magnetic resonance imaging before and after surgery. The functional evaluation was performed through the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form© and Knee Society Knee Scoring System© (IKS). Patients presented a significant positive variation of the PCL index, IKDC and IKS scores. There is no significant correlation between PCL index variation and IKDC and IKS scores (p > 0.05). Unlike other studies reporting a relationship between the PCL index, control of rotational kinematics, and functional improvement in patients undergoing ACL reconstruction with bone-patellar tendon-bone autograft, this study does not demonstrate this association. There is evidence in this study to show that the PCL index may be used as an anatomic reconstructive marker of ACL but not to predict the clinical outcome in this type of reconstruction.


Posterior cruciate ligament index Anterior cruciate ligament reconstruction Hamstring tendon Autograft 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Orthopaedics DepartmentUnidade Local de Saúde do Alto MinhoViana do CasteloPortugal
  2. 2.Mathematics DepartmentMinho UniversityBragaPortugal
  3. 3.Orthopaedics DepartmentHospital Garcia de HortaAlmadaPortugal

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