Journal of Medical Diagnostic Methods
Open Access

Multiple-looping technique for tibial fixation in posterior cruciate ligament reconstruction

International Conference on Medical Devices

September 21-22, 2015 Orlando, USA

Jung Ho Noh

Kangwon National University Hospital, South Korea

Posters-Accepted Abstracts: J Med Diagn Meth

Abstract :

Purpose: The purposes of this study are to introduce new technique of tibial fixation using free tendon graft in posterior cruciate ligament (PCL) reconstruction which is less affected by the bone density of the tibial metaphysis and to report results of a case series. Methods: Sixteen subjects underwent single bundle PCL reconstruction using free tendon Achilles allograft. The graft was looped to be double strand. Free ends were fixed on femoral side using suture washer and or bio-absorbable screw and looped end was fixed on tibial side with multiple-looping technique. Ranges of motion of the knee and side-to-side difference (SSD) were assessed at the last follow-up. Lysholm score was evaluated preoperatively and at the last follow-up. Tegner activity scale was evaluated before injury and at the last follow-up. Results: Median follow-up period was 20 months. At the last follow-up, two had 5 degrees of flexion limitation and the others showed normal range of motion. Median SSD was 10.5 mm preoperatively and 2.0 mm at the last follow-up (p<0.001). Median Lysholm score was 57 preoperatively and 90 at the last follow-up (p<0.001). Tegner activity scale was 6.5 before injury and 6 at the last follow-up (p=0.001). Conclusions: Multiple-looping technique for tibial fixation showed satisfactory outcomes after single bundle PCL reconstruction without any significant complications.

Biography :

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