An evaluation of posterior cruciate ligament reconstruction surgery
Abstract Background The nature of posterior cruciate ligament (PCL) injuries and the scarcity of data on this issue have made reports on clinical and epidemiological features of PCL injuries valuable. We aimed to report our experiences with PCL injuries in our region. Methods Any patient who referre...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-020-03533-6 |
| _version_ | 1818148076211142656 |
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| author | Mohammad Razi Saman Ghaffari Alireza Askari Peyman Arasteh Elaheh Ziaei Ziabari Haleh Dadgostar |
| author_facet | Mohammad Razi Saman Ghaffari Alireza Askari Peyman Arasteh Elaheh Ziaei Ziabari Haleh Dadgostar |
| author_sort | Mohammad Razi |
| collection | DOAJ |
| description | Abstract Background The nature of posterior cruciate ligament (PCL) injuries and the scarcity of data on this issue have made reports on clinical and epidemiological features of PCL injuries valuable. We aimed to report our experiences with PCL injuries in our region. Methods Any patient who referred with a diagnosis of PCL rupture from 2004 to 2018 to our center, was included in this report. We evaluated pre- and postoperative outcomes and compared patients with isolated and combined (multi-ligament) PCL injuries. Results Overall, 55 patients were included in our study. Majority of patients were men (87.2%). Mean age of patients was 28.12 ± 8.53 years old. Average follow-up period was 28.83 ± 20.62 months and mean duration between trauma and surgery was 27.8 ± 38.0 months. Most common cause of PCL injury was traffic accidents (70.9%) followed by sports injuries (5.5%). Majority of patients (69.1%) had combined PCL injuries. Majority of patients underwent single tibial-double femoral tunnel reconstruction (56.4%), followed by single tibial-single femoral tunnel (34.5%) reconstruction. Allografts were used in 60% of patient. Average Cincinnati knee rating scale (CKRC) was 35.87 ± 11.4, which improved significantly after PCL reconstruction (79.45 ± 11.90, p < 0.001). Full range of motion only existed in 29.1% of patient prior to surgery, which improved after surgery (92.7%, p < 0.001). Three patients had postoperative arthrofibrosis and motion stiffness, 1 had deep vein thrombosis and 3 patients had infections. Those with isolated PCL injuries had higher pre-operative CKRS (42.05 ± 8.96 vs. 33.10 ± 11.45, p = 0.006) and lower pre-operative posterior drawer test (2.76 ± 0.43 vs. 3.1 ± 0.6, p = 0.042) compared to those with combined injuries. Conclusion Today with advances in surgical techniques, considering treatment of collateral ligament injuries, use of stronger allografts and more secure fixation methods, better rehabilitation programs and early range of motion, results of reconstruction of the PCL has become very promising. Accordingly we recommend surgical treatment even for isolated PCL tears, with the goal to prevent functional deficit and to prevent degenerative arthritis. |
| first_indexed | 2024-12-11T12:45:23Z |
| format | Article |
| id | doaj.art-3a0ee3184cf140928b8227bfa365643a |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-11T12:45:23Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-3a0ee3184cf140928b8227bfa365643a2022-12-22T01:06:50ZengBMCBMC Musculoskeletal Disorders1471-24742020-08-0121111110.1186/s12891-020-03533-6An evaluation of posterior cruciate ligament reconstruction surgeryMohammad Razi0Saman Ghaffari1Alireza Askari2Peyman Arasteh3Elaheh Ziaei Ziabari4Haleh Dadgostar5Department of Orthopedic Surgery, Rasoul Akram Hospital, Iran University of Medical SciencesZiaeian Hospital, Tehran University of Medical SciencesBone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical SciencesShiraz University of Medical SciencesIran University of Science and TechnologyDepartment of Sports Medicine, Rasoul Akram Hospital, Iran University of Medical SciencesAbstract Background The nature of posterior cruciate ligament (PCL) injuries and the scarcity of data on this issue have made reports on clinical and epidemiological features of PCL injuries valuable. We aimed to report our experiences with PCL injuries in our region. Methods Any patient who referred with a diagnosis of PCL rupture from 2004 to 2018 to our center, was included in this report. We evaluated pre- and postoperative outcomes and compared patients with isolated and combined (multi-ligament) PCL injuries. Results Overall, 55 patients were included in our study. Majority of patients were men (87.2%). Mean age of patients was 28.12 ± 8.53 years old. Average follow-up period was 28.83 ± 20.62 months and mean duration between trauma and surgery was 27.8 ± 38.0 months. Most common cause of PCL injury was traffic accidents (70.9%) followed by sports injuries (5.5%). Majority of patients (69.1%) had combined PCL injuries. Majority of patients underwent single tibial-double femoral tunnel reconstruction (56.4%), followed by single tibial-single femoral tunnel (34.5%) reconstruction. Allografts were used in 60% of patient. Average Cincinnati knee rating scale (CKRC) was 35.87 ± 11.4, which improved significantly after PCL reconstruction (79.45 ± 11.90, p < 0.001). Full range of motion only existed in 29.1% of patient prior to surgery, which improved after surgery (92.7%, p < 0.001). Three patients had postoperative arthrofibrosis and motion stiffness, 1 had deep vein thrombosis and 3 patients had infections. Those with isolated PCL injuries had higher pre-operative CKRS (42.05 ± 8.96 vs. 33.10 ± 11.45, p = 0.006) and lower pre-operative posterior drawer test (2.76 ± 0.43 vs. 3.1 ± 0.6, p = 0.042) compared to those with combined injuries. Conclusion Today with advances in surgical techniques, considering treatment of collateral ligament injuries, use of stronger allografts and more secure fixation methods, better rehabilitation programs and early range of motion, results of reconstruction of the PCL has become very promising. Accordingly we recommend surgical treatment even for isolated PCL tears, with the goal to prevent functional deficit and to prevent degenerative arthritis.http://link.springer.com/article/10.1186/s12891-020-03533-6Posterior cruciate ligamentReconstructionOutcomeIranTrauma |
| spellingShingle | Mohammad Razi Saman Ghaffari Alireza Askari Peyman Arasteh Elaheh Ziaei Ziabari Haleh Dadgostar An evaluation of posterior cruciate ligament reconstruction surgery BMC Musculoskeletal Disorders Posterior cruciate ligament Reconstruction Outcome Iran Trauma |
| title | An evaluation of posterior cruciate ligament reconstruction surgery |
| title_full | An evaluation of posterior cruciate ligament reconstruction surgery |
| title_fullStr | An evaluation of posterior cruciate ligament reconstruction surgery |
| title_full_unstemmed | An evaluation of posterior cruciate ligament reconstruction surgery |
| title_short | An evaluation of posterior cruciate ligament reconstruction surgery |
| title_sort | evaluation of posterior cruciate ligament reconstruction surgery |
| topic | Posterior cruciate ligament Reconstruction Outcome Iran Trauma |
| url | http://link.springer.com/article/10.1186/s12891-020-03533-6 |
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