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Rhatomy S, Utomo D N, Sigit Prakoeswa C R, Suroto H, Tinduh D, Notobroto H B, et al . Single-Bundle PCL Reconstruction with Remnant Preservation: Midterm Follow-up. Ann Appl Sport Sci 2022; 10 (S1)
URL: http://aassjournal.com/article-1-1015-en.html
URL: http://aassjournal.com/article-1-1015-en.html
Sholahuddin Rhatomy * 
1, Dwikora Novembri Utomo2 , Cita Rosita Sigit Prakoeswa3 , Heri Suroto2 , Damayanti Tinduh4 , Hari Basuki Notobroto5 , Fedik Abdul Rantam6 , Ferdiansyah Mahyudin2
1, Dwikora Novembri Utomo2 , Cita Rosita Sigit Prakoeswa3 , Heri Suroto2 , Damayanti Tinduh4 , Hari Basuki Notobroto5 , Fedik Abdul Rantam6 , Ferdiansyah Mahyudin2
1- Doctoral Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia , doktergustomrhatomy@yahoo.com
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. Stem Cell Research and Development Center, 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. Stem Cell Research and Development Center, Universitas Airlangga, Surabaya Indonesia.
Abstract: (3033 Views)
Background. Remnant preservation was developed as a routine procedure for posterior cruciate ligament (PCL) reconstruction, but it is not easy.
Objectives. Our study aimed to evaluate the outcomes of a 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 a 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. The mean diameter of the hamstring autograft was 8 ± 2.04 mm. The 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 the 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, and 1 (2.2%) had a 16o-25o deficit in flexion, and 1 (2.2%) had a 16o-25o deficit in extension. Eight cases had the infection at the local incision site, which was resolved with conservative treatment.
Conclusion. Remnant preservation in PCL reconstruction with standard and posteromedial portal at a minimum 5-year assessment showed satisfactory clinical, functional outcome, and radiological evaluation outcomes.
Objectives. Our study aimed to evaluate the outcomes of a 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 a 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. The mean diameter of the hamstring autograft was 8 ± 2.04 mm. The 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 the 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, and 1 (2.2%) had a 16o-25o deficit in flexion, and 1 (2.2%) had a 16o-25o deficit in extension. Eight cases had the infection at the local incision site, which was resolved with conservative treatment.
Conclusion. Remnant preservation in PCL reconstruction with standard and posteromedial portal at a minimum 5-year assessment showed satisfactory clinical, functional outcome, and radiological evaluation outcomes.
Keywords: Posterior Cruciate Rupture, PCL Reconstruction, Preserving Remnant, Clinical Outcome Score, Radiological Evaluation
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APPLICABLE REMARKS
APPLICABLE REMARKS
- The study recommends that PCL reconstruction using standard anterior and posteromedial portals is enough without the need for additional posterolateral portals.
- The study showed that PCL reconstruction with remnant preservation would increase significant functional outcomes.
Type of Study: Original Article |
Subject:
Kinesiology and Sport Injuries
Received: 2021/05/13 | Accepted: 2021/07/20
Received: 2021/05/13 | Accepted: 2021/07/20
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