Single-row arthroscopic repair in patients with isolated posterior cruciate ligament injury. Case Series
DOI:
https://doi.org/10.1016/j.rccot.2019.02.003Keywords:
posterior cruciate ligament, arthroscopic, surgical results, functional evaluationAbstract
Background: Isolated lesions of the posterior cruciate ligament cause instability and failure in the rotating component of the knee. The objective of this article is to describe the results of single-row arthroscopic treatment using a single-bundle technique with a single tunnel and fixation with interference screws in patients with isolated lesions of the Posterior Cruciate Ligament, grade III.
Methods: A cross-sectional study was conducted using the IKDC Testto evaluate, pre-operatively and yearly, the treatment of posterior cruciate ligament injuries. The statistics used were descriptive, as well as measures of central tendency and dispersion, and Mann Whitney UWilcoxon tests to compare means.
Results: The study included 5 patients, 4 (80%) were male and 1 (20%) female, and a mean age 27.8 years (minimum 20, maximum 33) ± 5.58 years). The affected side was right in 3%, left in 2 (40%) patients, and all showed a posterior drawer sign. The results of the pre-operative IKDC test were: difference of means 2.6, sum of negative ranks 15, sum of positive ranks 0, z = -2.070, P=.038; after surgery no patient had a positive posterior drawer sign.
Discussion: The treatment of isolated grade III lesions of PCL with a single bundle and tunnel technique with an arthroscopic autograft of hamstrings offers good results.
Evidence Level: IV.
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