J Knee Surg 2012; 25(01): 059-064
DOI: 10.1055/s-0031-1299665
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Single Compared to Double-Bundle PCL Reconstruction Using Allograft Tissue

Gregory C. Fanelli
1   Department of Geisinger Sports Medicine and Orthopaedic Surgery, Danville, Pennsylvania
,
John D. Beck
1   Department of Geisinger Sports Medicine and Orthopaedic Surgery, Danville, Pennsylvania
,
Craig J. Edson
1   Department of Geisinger Sports Medicine and Orthopaedic Surgery, Danville, Pennsylvania
› Institutsangaben
Weitere Informationen

Publikationsverlauf

15. Juli 2011

21. August 2011

Publikationsdatum:
12. April 2012 (online)

Abstract

This study compares the results of arthroscopic transtibial tunnel single-bundle and double-bundle posterior cruciate ligament (PCL) reconstructions using allograft tissue in PCL-based multiple ligament injured knees. Ninety consecutive PCL reconstructions are evaluated: 45 single-bundle and 45 double-bundle reconstructions. All PCL reconstructions were performed using the arthroscopically assisted transtibial tunnel PCL reconstruction technique using fresh frozen allograft tissue from the same tissue bank. Achilles tendon allograft was used for the anterolateral bundle; tibialis anterior allograft was used for the posteromedial bundle. The knees were evaluated postoperatively, comparing the single-bundle results to the double-bundle results, with KT-1000 arthrometer (Medmetric Corporation, San Diego, CA) testing, three different knee ligament rating scales, and Telos stress radiography (Austin Associates, Fallston, MD). Both the single-bundle and the double-bundle PCL reconstruction surgical techniques using allograft tissue provide successful results in the PCL-based multiple ligament injured knee when evaluated with stress radiography, arthrometer measurements, and knee ligament rating scales.

 
  • References

  • 1 Dejour H, Walch G, Peyrot J, Eberhard P. [The natural history of rupture of the posterior cruciate ligament]. Rev Chir Orthop Repar Appar Mot 1988; 74 (1) 35-43
  • 2 Giffin JR, Haemmerle MJ, Vogrin TM, Harner CD. Single- versus double-bundle PCL reconstruction: a biomechanical analysis. J Knee Surg 2002; 15 (2) 114-120
  • 3 Chen CH, Chen WJ, Shih CH. Arthroscopic reconstruction of the posterior cruciate ligament with quadruple hamstring tendon graft: a double fixation method. J Trauma 2002; 52 (5) 938-945
  • 4 Cain Jr EL, Clancy Jr WG. Posterior cruciate ligament reconstruction: two-bundle technique. J Knee Surg 2002; 15 (2) 108-113
  • 5 Daniel DM, Akeson W, O'Conner J. Knee Ligaments: Structure, Function, Injury, and Repair. New York: Raven Press; 1990: 421-447
  • 6 Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 1985; (198) 43-49
  • 7 Windsor RE, Insall JN, Warren RF, Wickiewicz TL. The hospital for special surgery knee ligament rating form. Am J Knee Surg 1988; 1: 140-145
  • 8 Fanelli GC. Posterior cruciate ligament rehabilitation: how slow should we go?. Arthroscopy 2008; 24 (2) 234-235
  • 9 Cooper DE, Stewart D. Posterior cruciate ligament reconstruction using single-bundle patella tendon graft with tibial inlay fixation: 2- to 10-year follow-up. Am J Sports Med 2004; 32 (2) 346-360
  • 10 Fanelli GC, Edson CJ. Combined posterior cruciate ligament-posterolateral reconstructions with Achilles tendon allograft and biceps femoris tendon tenodesis: 2- to 10-year follow-up. Arthroscopy 2004; 20 (4) 339-345
  • 11 Garofalo R, Jolles BM, Moretti B, Siegrist O. Double-bundle transtibial posterior cruciate ligament reconstruction with a tendon-patellar bone-semitendinosus tendon autograft: clinical results with a minimum of 2 years' follow-up. Arthroscopy 2006; 22 (12) 1331-1338 ; e1
  • 12 Wang CJ, Chen HS, Huang TW. Outcome of arthroscopic single bundle reconstruction for complete posterior cruciate ligament tear. Injury 2003; 34 (10) 747-751
  • 13 Hatayama K, Higuchi H, Kimura M, Kobayashi Y, Asagumo H, Takagishi K. A comparison of arthroscopic single- and double-bundle posterior cruciate ligament reconstruction: review of 20 cases. Am J Orthop 2006; 35 (12) 568-571