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1- Doctoral Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia ,
2- Department of Orthopaedic and Traumatology, Dr. Soetomo General Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
3- Department of Dermatology and Venereology, Dr. Soetomo General Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
4- Physical Medicine and Rehabilitation Department, Universitas Airlangga, Surabaya, Indonesia
5- Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
6- Virology and Immunology Laboratory, Microbiology Department, Faculty of Veterinary Medicine, Universitas Airlangga, Surabaya Indonesia
Abstract:   (830 Views)
Background. Remnant preservation was developed as a routine procedure for posterior cruciate ligament (PCL) reconstruction, but it is technically difficult. Objectives. Our study aimed to evaluate the outcomes of minimum 5-years follow-up of remnant preservation PCL reconstruction. Methods. The study was a prospective cohort analysis of 44 patients who underwent PCL reconstruction with remnant preservation and minimum 5-years follow-up. Outcome parameters included were modified Cincinnati score, Lysholm knee score, International Knee Documentation Committee (IKDC) subjective score, degree of laxity (Posterior Drawer Test), single leg hop test, and knee x-ray findings. Results. Mean diameter of the hamstring autograft was 8 ± 2.04 mm. Mean of Lysholm knee scores increased from 65.15  10.48 to 86.94 ± 4.80. The IKDC subjective score increased from 62.55 ± 18.10 (range, 40–65) to 88.65 ± 3.44 (range, 65–100) points, and Modified Cincinnati Score from 63.32 ± 13.65 to 86.24 ± 1.64. For Posterior Drawer Test results after surgery, 37 patients (84%) had grade 1, 5 (11%) had grade 2, and 2 (4.5%) had grade 3 of laxity For the range of motion measurements, 39 (88.6%) patients had normal knee status, 3 (6.8%) presented with flexion deficit >25o, 1 (2.2%) had a 16o-25o deficit in flexion, and 1 (2.2%) had a 16o-25o deficit in extension. Eight cases had infection at the local incision site, which was resolved with conservative treatment. Conclusion. Remnant preservation in PCL reconstruction with standard and postero-medial portal at minimum 5-year assessment showed satisfactory outcome in clinical, functional outcome and radiological evaluation.
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Type of Study: Original Article | Subject: Kinesiology and Sport Injuries
Received: 2021/05/13 | Accepted: 2021/01/12

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