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Knee Laxity or Loss of Knee Range of Motion after PCL Reconstruction: A Systematic Review and Meta-Analysis
Sholahuddin Rhatomy, Dwikora Novembri Utomo, Heri Suroto, Ferdiansyah Mahyudin,
year 8, Issue 4 (Winter Supplementary 2020)
Abstract
Background. PCL reconstruction is a successful method for enhancing the patient's quality of life but posterior knee laxity and knee stiffness have still occurred surgery. There is no study to evaluate knee laxity or loss of knee range of motion after surgery.
Objectives. To assess the outcomes after PCL reconstruction, we: 1) evaluated the range of motion of the knee, 2) evaluated posterior knee laxity, and 3) determined the factors that influence laxity or the loss of range of motion after surgery.
Methods. Articles that met the following criteria were enrolled in this review: 1) articles on peer-reviewed level 1 to 4 studies; 2) articles published in English; 3) articles on PCL reconstruction studies; 4) articles on isolated PCL rupture; 5) articles that describe laxity after surgery and 6) articles that describe the degree of range of motion after surgery.
Results. Involving a total of 1711 patients. There was a loss of extension and flexion after PCL reconstruction (9.15% and 28.9%, respectively). Knee laxity was still observed at the final examination in the posterior drawer test, KT 1000/2000 test, and Telos radiographic view (64.8%, 42.8%, and 47.9%, respectively). In the subgroup analysis, there was no significant difference in laxity between allograft group vs autograft group using the KT 1000/2000 measurement (mean difference [MD] = -0.42, 95% confidence interval [-1.41, 0.56], p = 0.40), Single Bundle vs Double Bundle (DB) using the KT 1000/2000 measurement (MD = -0.003, 95% CI [-1.35, 1.29], p < 0.00001), and transtibial vs tibial inlay using the Telos radiograph measurement (MD = 0.03, 95% CI [-0.33, 0.39], p = 0.88), but DB significantly improved knee stability using the Telos radiographic measurement (MD = 0.69, 95% CI [0.29,1.09], p = 0.00008).
Conclusion. This study demonstrates that the loss of range of motion or laxity is still a problem after PCL reconstruction.

Single-Bundle PCL Reconstruction with Remnant Preservation: Midterm Follow-up
Sholahuddin Rhatomy, Dwikora Novembri Utomo, Cita Rosita Sigit Prakoeswa, Heri Suroto, Damayanti Tinduh, Hari Basuki Notobroto, Fedik Abdul Rantam, Ferdiansyah Mahyudin,
year 10, Issue 1 (Spring Supplementary 2022)
Abstract
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.

Technological Innovation in Increasing Sport Access and Participation for People with Disabilities and Inactivity-A Report on 1st Conference USCI (University Sport Consortium International)_November 5-6, 2024
Seyed Morteza Tayebi, Fatemeh Ghorbanalizadeh Ghaziani, Abdirrohim Muhammad Qori, Abdul Halim Mokhtar, Abna Hidayati, Adhadi Kurniawan, Adi Ahmad Supendi, Afianti Sulastri, Afif Khoirul Hidayat, Afif Rusdiawan, Afif Rusdiawan, Agus Gumilar, Agus Hariyanto, Ahmad Chaeroni, Alchonity Harika Fitri, Aldilla Yulia Wiellys Sutikno, Aldo Naza Putra, Alex Alda Yudi, Alexandre Sibomana, Alfand Setiawan, Ali Munir, Alimuddin, Alnedral, Alpin Herman Saputra, Alvendo Pratama, Amin Akbar, Amung Ma’mun, Anas Ardiansyah, Andes Permadi, Andika Prabowo, Andra Rizky Putra, Andre Igoresky, Andri Gemaini, Anggi Yusriana, Anggun Permata Sari, Anisa Soliha Mia, Anton Komaini, Ardhika Falaahudin, Ardi Arif, Ardo Okilanda, Arfa Adha, Argantos, Ariando Ariston, Aridhotul Haqiyah, Arie Asnaldi, Arif Fadli Muchlis, Arifah Kaharina, Aris Fajar Pambudi, Arisman, Armaita, Arsil, Artha Ivonita Simbolon, Aulia Rahmad, Aydin Karacam, Az Zuhran Zainal, Badai Meganagara Dradjat, Bafirman, Bangkit Yudho Prabowo, Bayu Hardiyono, Bayu Haryanto, Bayu Insanistyo, Bayu Putra, Bekir Car, Bekir Erhan Orhan, Bernadeta Suhartini, Bogy Restu Ilahi, Bujang, Burhan Basyiruddin, Cahyo Wibowo, Cerika Rismayanthi, Dadan Resmana, Daharnis Daharnis, Dally Rahman, Damardjati Kun Marjanto, Damrah, Dani Nur Riyadi, Dani Primanata, Danny Eka Wahyu Saputra, Darni, Deby Tri Mario, Del Asri, Desi Purnama Sari, Despita Antoni, Dessi Novita Sari, Deswandi, Dewi Kiani Cakrawati, Dian Pujianto, Didi Suryadi, Dindin Abidin, Donal Syafrianto, Doni Priawan, Donie, Dwi Cahyo Kartiko, Dwi Esti Kusumandari, Dwi Happy Anggia Sari, Eddy Marheni, Edwarsyah, Eko Purnomo, Eldawaty, Elma Haryani, Elsa Yuniarti, Ely Yuliawan, Endang Sepdanius, Erianti, Erwin Setyo Kriswanto, Eva Faridah, Eval Edmizal, Fadlillah, Fahmil Haris, Faradifta Tirta Ardita, Fathurrahman Hafid , Fatih Hazar, Fiky Zarya, Fina Hiasa, Firunika Intan Cahyani, Fransisca Januarumi Marhaendra, Gigih Siantoro, Giovanne Farell, Gusril, Hadi Pery Fajri, Hafizah Delyana, Hansi Effendi, Happy Fitria, Hari Setijono, Haripah Lawanis, Hartati, Hasan Basri, Hastria Effendi, Hayudi, Hazrina Amni, Hendra Afriwan, Hendri Irawadi, Hendri Neldi, Heny Setyawati, Heri Haryanto, Herman Subarjah, Hermanzoni, Hernawan, Heru Andika, Heryanto Nur Muhammad, Hilmainur Syampurma, Hilmy Apriady, Husnul Khatimah, Ifdil, Iit Selviani, Ilham, Ilham, Imantara Subagio, Indri Wulandari, Inge Angelia, Irma Febriyanti, Irpan Nopriansah, Isti Dwi Puspita Wati, Istiqomah Istiqomah, Iwan Setiawan, Jaffry Zakaria, Jaka Putra Utama, Jannatul Khairoh, Japhet Ndayisenga, Jeki , Jepri Naldi , Jeri Harliangga, Jhon Roby Purba, Joan Siswoyo, Johansyah Lubis , Jose Vicente Garcia Jimenez, Juanda Putra, Kadek Heri Sanjaya, Kamal Firdaus, Karuppasamy Govindasamy, Khairani , Khairuddin, Kolektus Oky Ristanto, Komarudin, Kristian Burhan, Kurniati Rahayuni, Leo Pratama, Lili Adi Wibowo, Liza, Lucy Widya Fathir, M Fahli Zatra Hadi, M. Adli Bin Mohd Sidi, M. Arie Desman, Maidawilis, Maifina Sri Ningsih, Mardepi Saputra, Mario Febrian, Marsika Sepyanda, Mas Nur Zafirah Muhammad Saad, Masrun, Meiriani Armen, Meirizal Usra, Melisa, Mikkey Anggara Suganda, Mochamad Ridwan, Mochammad Azqilla Ahdalazim, Mohad Anizu Mohd Nor, Mohamad Nizam Nazarudin, Mohamad Rahizam Abdul Rahim, Mohd Hafizuddin Baki, Muhammad Fakhrur Rozi, Muhammad Azhar Robbani, Muhammad Arnando, Muhamad Sazeli Rifki, Muhammad Andika Marlis Ramadhan, Muhamad Ichsan Sabillah, Muchamad Arif Al Ardha, Mohd Salleh Bin Aman, Mohd Izwan Shahril, Mohd Huzairi Mohd Sani, Nurlan Kusmaedi, Nuridin Widya Pranoto, Nurhastuti, Nurhasan, Nurettin Konar, Nur Adila Wafiqoh Zulvi, Nugroho Susanto, Novita Intan Arovah, Novia Nazirun, Novadri Ayubi, Norhazira Abdul Rahim, Nor Eeza Zainal Abidin, Nofri Hendri, Nina Jermaina, Nilma Zola, Nikmatullaili, Nidya Fitri, Nguyen Tra Giang, Neneng Habibah, Nasnoor Juzaily Bin Mohd Masiruddin, Nanik Indahwati, Naluri Denay, Mutiara Felicita Amsal, Muhammad Galih Gusti Sidik, Mustika Fitri, Nurmaines Adhyka, Nurul Diyana Binti Sanuddin, Nurul Ihsan, Oce Ridwanudin, Oce Wiriawan, Oddie Bananda Rizki, Omar Firdaus, Oyatra Warda Utama, Padli, Pahala Tua Hutajulu, Parama Surya Kustrapsila, Pringgo Mardesia, Prisca Widiawati, Pudia M. Indika, Raden Sudarwo, Ramadoni, Ramdan Pelana, Randi Kurniawan, Rani Nurhasanah, Rara Putri Maliza, Ratko Pavlović, Raudhatul Hanifah, Rayendra, Refnaldi, Resmi Darni, Resti Nurpratiwi, Retnaningtyas Susanti, Rezha Arzhan Hidayat, Rezki, Rezki Mukhlis Ardiansyah, Rezli Oktaviani, Rices Jatra, Ridho Bahtra, Rijal Khaerani, Rika Sepriani, Rila Muspita, Rima Pratiwi Fadli, Rini Afriani, Rini Ismalasari, Riska Ramadani Lasri, Rivaldi Arissaputra, Rivalwan, Rizki Almauli, Roni Andri Pramita, Ronni Yenes, Rose Rahmidani, Rosly Yusoff, Rosmawati, Rozaireen Muszali, Rully Efendi, Rusdinal, Rustamadji, Samuel Martin Pradana, Sandey Tantra Paramitha, Sapto Wibowo, Sari Mariati, Satria Lintang Rachmadana, Sawirman, Schillaci Valley Mucci, Sefri Hardiansyah, Sepriadi, Septian Raibowo, Septian Willyanto, Septri, Serli Marlina, Shahrulfitri Borhan, Shariman Ismadi, Shukhratulla Allamuratov, Siska Alicia Farma, Siti Aishah Md Yusop, Siti Musliha Mat Rasid, Slamet Raharjo, Soeci Izzati Adlya, Soni Nopembri, Sonya Nelson, Soyib Tajibaev, Sri Gusti Handayani, Sri Indah Ihsani, Sri Rizki Handayani, Sri Wicahyani, Suci Nanda Sari, Sufyarma Marsidin, Suharjana, Sukendro, Sukiri, Sulistiyono, Sumarjo, Sumarsih Anwar, Sumaryanti, Suryo Utomo, Suwirman, Syafruddin, Syahrastani, Syahrial Bakhtiar, Syaiful Haq, Syamsuar, Tandiyo Rahayu, Tatang Iskandar, Taufiq Hidayat, Thadius Yambedoan, Thesya Alda Nia, Tika Gustina, Tirto Apriyanto, Tjung Hauw Sin, Tri Irfa Indrayani, Umar, Uray Gustian, Vanessa Gaffar, Varhatun Fauziah, Vega Soniawan, Villia Anggraini, Vlad Adrian Geantă, Wakhid Kozin, Wan Ahmad Munsif Wan Pa, Waskito Aji Suryo Putro, Wawan Sundawan Suherman, Wedi, Weny Sasmitha, Wilda Welis, Willadi Rasyid, Wulandari Putri, Wuri Syaputri, Y. Touvan Juni Samodra, Yahya, Yahya Eko Nopiyanto, Yanuar Kiram, Yaslindo, Yasri, Yayang Yulia Sari, Yendrizal, Yogi Andria, Yogi Arnaldo Putra, Yogi Setiawan, Yona Mita Soma, Yovhandra Ockta, Yudanto, Yudi Budianti, Yummi Meirafoni, Yuni Astuti, Yuni Fitriyah Ningsih, Yunita Lasma, Yusradinafi, Yuyun Bewelli Fahmi, Zakiah Noordin, Zsolt Németh, Zulakhbal, Zulbahri,
year 13, Issue 0 (Special Issue 2025)
Abstract
The conference's final report, including a short report of all articles, is downloadable. The conference was held at Universitas Negeri Padang in Indonesia with the executive participation of four universities from three countries (Indonesia, Malaysia, and the Philippines) under a formation named "University Sport Consortium International (USCI)."
This conference's scope was multidisciplinary in sports sciences and physical education, with a notable aspect of "Technological Innovation in Increasing Sport Access and Participation for People with Disabilities and Inactivity."

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