2015 ISAKOS Biennial Congress ePoster #2009

Prospective Analysis of Treatment Outcome of Posterior Cruciate Ligament Reconstruction Using a Patient-Based Health-Related Scale: Comparison With Anterior Cruciate Ligament Reconstruction

Satoshi Ochiai, MD, PhD, Kofu, Yamanashi JAPAN
Tetsuo Hagino, MD, PhD, Kofu, Yamanashi JAPAN
Yoshiyuki Watanabe, MD, PhD, Kofu JAPAN
Shinya Senga, MD, Kofu JAPAN
Takashi Ando, MD, PhD, Kofu, Yamanashi JAPAN
Hirotaka Haro, MD, PhD, Chuo, Yamanashi JAPAN

The Sports Medicine and Knee Center, National Hospital Organization, Kofu National Hospital, Kofu, Yamanashi, JAPAN

FDA Status Cleared

Summary: This study evaluated the treatment outcome of PCL reconstruction comparing with ACL construction. The patients were evaluated using SF-36, VAS, Lysholm scale, tibial translation, and ROM until 24 months after surgery. The surgical outcome of PCL reconstruction was inferior to that of ACL reconstruction both in patient-based assessment and conventional doctor-based assessments.

Rate:

Abstract:

Objective

This study evaluated the treatment outcome of posterior cruciate ligament (PCL) reconstruction using SF-36, a patient-based QOL questionnaire, comparing with anterior cruciate ligament (ACL) construction.
Patients and Methods: Patients who underwent reconstruction at our Center for PCL injury (n = 24) or ACL injury (n = 197) were studied. The patients were evaluated using SF-36, visual analog scale (VAS), Lysholm scale, posterior or anterior tibial translation, and range of motion before surgery until 24 months after surgery. The results of two groups were compared.

Results

In ACL group, all evaluation methods showed significant improvement after surgery. In PCL group, however, improvement was observed in only 3 of 8 subscales of SF-36, Lysholm score, and posterior tibial translation after surgery. In intergroup comparison, PCL group showed inferior performance in three subscales of SF-36, Lysholm score, and range of movement for flexion, compared to ACL group.

Discussion

The surgical outcome of PCL reconstruction was inferior to that of ACL reconstruction both in patient-based assessment and conventional doctor-based assessments. Improvement of surgical technique is required.