2015 ISAKOS Biennial Congress ePoster #2007

Simultaneous Double-Boundle "All Inside" Posterior Cruciate Ligament and Anterior Cruciate Ligament Reconstruction: 2 Years Follow Up

Daniel A. Slullitel, MD, Prof., Rosario ARGENTINA
Hernan Galan, MD, Rosario, Santa Fe ARGENTINA
Franco Dellavedova, MD, Rosario ARGENTINA

Instituto Dr. Jaime Slullitel, Rosario, Santa Fe, ARGENTINA

FDA Status Not Applicable

Summary: clinical results of simultaneuos Double-boundle " All Inside" posterior Cruciate Ligament ( PCL) and Anterior Cruciate Ligament (ACL) Reconstruction.

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Abstract:

The purpose of this study was to evaluate the clinical results of simultaneuos Double-boundle " All Inside" posterior Cruciate Ligament ( PCL) and Anterior Cruciate Ligament (ACL) Reconstruction.

Methods

This study population included 22 men and 2 women with 19 acute and 4 chronic knee injuries. Ligament injuries included 16 ACL / PCL / Posterolateral instability, 5 ACL / PCL / Medial Cruciate Ligament (MCL), 3 ACL / PCL instability. Artroscopically assited combined ACL/PCL reconstruction were performed using the "All Inside" PCL reconstruction and ACL anatómical reconstruction. The patients were followed up for a mínimum of 2 years and evaluated according to the International Knee Documentation Committee ( IKDC) and Lysholm Rating scale. The anterior-posterior knee laxity was assessed by KT-1000 examination.

Results

At the last Follow Up, all pacients showed normal knee extension. Two pacients had 10 grades flexion limitation, and five had a 5 grades flexión limitation. The IKDC subjetive, Lysholm scores were 84,3 +/- 6,2 and 90,4 +/- 4,6 respectively. According to the last IKDC evaluation, the results were graded as normal in 15 patients ( 62,5 %), nearly normal in 8 patients ( 33,3%), and abnormal in 1 patient ( 4,16%). The KT-1000 examination showed that de side to side difference in overall anterior-posterior laxity at 70 grades flexion was 0 to 2 mm in 18 patients, 3 to 5 mm in 5 patients, and 6 to 10 mm in 1 patient; the side to side difference in overall anterior-posterior laxity at 20 grades flexion was 0 to 2 mm in 17 patients, 3 to 5 mm in 6 patients and 6 to 10 mm in 1 patient.

Conclusion

simultaneuos Double-Boundle " All Inside " PCL and ACL reconstruction can effectively and safely restore knee stability, and can yield normal results in 62,5 % of patients and nearly normal in 33,3% at mínimum 2 years.