Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000161.xml
J Knee Surg 2014; 27(04): 289-294
DOI: 10.1055/s-0033-1360660
DOI: 10.1055/s-0033-1360660
Original Article
A New Simplified Onlay Technique for Posterior Cruciate Ligament Reconstruction
Further Information
Publication History
09 September 2013
23 September 2013
Publication Date:
13 November 2013 (online)
Abstract
The integrity of posterior cruciate ligament (PCL) is essential for the normal kinematics of the knee. Injury to the PCL has adverse consequences, with worsening of functional performance and an increased risk to develop osteoarthritis. Conservative treatment is sometimes adopted, not only because it is an acceptable option for selected patients but also due to the lack of consensus in the orthopedic literature regarding the best surgical method. Hereby we describe a simplified technique for onlay PCL reconstruction pointing out possible advantages if compared with the traditional transtibial or inlay techniques.
-
References
- 1 Schulte KR, Chu ET, Fu FH. Arthroscopic posterior cruciate ligament reconstruction. Clin Sports Med 1997; 16 (1) 145-156
- 2 Boynton MD, Tietjens BR. Long-term followup of the untreated isolated posterior cruciate ligament-deficient knee. Am J Sports Med 1996; 24 (3) 306-310
- 3 Dandy DJ, Pusey RJ. The long-term results of unrepaired tears of the posterior cruciate ligament. J Bone Joint Surg Br 1982; 64 (1) 92-94
- 4 Keller PM, Shelbourne KD, McCarroll JR, Rettig AC. Nonoperatively treated isolated posterior cruciate ligament injuries. Am J Sports Med 1993; 21 (1) 132-136
- 5 Parolie JM, Bergfeld JA. Long-term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete. Am J Sports Med 1986; 14 (1) 35-38
- 6 Patel DV, Allen AA, Warren RF, Wickiewicz TL, Simonian PT. The nonoperative treatment of acute, isolated (partial or complete) posterior cruciate ligament-deficient knees: an intermediate-term follow-up study. HSS J 2007; 3 (2) 137-146
- 7 Shelbourne KD, Davis TJ, Patel DV. The natural history of acute, isolated, nonoperatively treated posterior cruciate ligament injuries. A prospective study. Am J Sports Med 1999; 27 (3) 276-283
- 8 Hermans S, Corten K, Bellemans J. Long-term results of isolated anterolateral bundle reconstructions of the posterior cruciate ligament: a 6- to 12-year follow-up study. Am J Sports Med 2009; 37 (8) 1499-1507
- 9 Lee GW, Jang SJ, Choi Y, Son JH. Accessory anterolateral portal in arthroscopic PCL reconstruction. Knee Surg Sports Traumatol Arthrosc 2013; 21 (5) 1043-1049
- 10 Jung YB, Tae SK, Jung HJ, Lee KH. Replacement of the torn posterior cruciate ligament with a mid-third patellar tendon graft with use of a modified tibial inlay method. J Bone Joint Surg Am 2004; 86-A (9) 1878-1883
- 11 Bergfeld JA, McAllister DR, Parker RD, Valdevit AD, Kambic HE. A biomechanical comparison of posterior cruciate ligament reconstruction techniques. Am J Sports Med 2001; 29 (2) 129-136
- 12 McAllister DR, Markolf KL, Oakes DA, Young CR, McWilliams J. A biomechanical comparison of tibial inlay and tibial tunnel posterior cruciate ligament reconstruction techniques. Am J Sports Med 2002; 30 (3) 312-317
- 13 Markolf KL, Zemanovic JR, McAllister DR. Cyclic loading of posterior cruciate ligament replacements fixed with tibial tunnel and tibial inlay methods. J Bone Joint Surg Am 2002; 84-A (4) 518-524
- 14 Oakes DA, Markolf KL, McWilliams J, Young CR, McAllister DR. Biomechanical comparison of tibial inlay and tibial tunnel techniques for reconstruction of the posterior cruciate ligament. Analysis of graft forces. J Bone Joint Surg Am 2002; 84-A (6) 938-944
- 15 Margheritini F, Mauro CS, Rihn JA, Stabile KJ, Woo SL, Harner CD. Biomechanical comparison of tibial inlay versus transtibial techniques for posterior cruciate ligament reconstruction: analysis of knee kinematics and graft in situ forces. Am J Sports Med 2004; 32 (3) 587-593
- 16 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
- 17 Chuang TY, Ho WP, Chen CH, Liao YS, Chen WJ. Double-bundle posterior cruciate ligament reconstruction using inlay technique with quadriceps tendon-bone autograft. Arthroscopy 2004; 20 (4) e23-e28
- 18 Noyes FR, Barber-Westin S. Posterior cruciate ligament replacement with a two-strand quadriceps tendon-patellar bone autograft and a tibial inlay technique. J Bone Joint Surg Am 2005; 87 (6) 1241-1252
- 19 Stannard JP, Riley RS, Sheils TM, McGwin Jr G, Volgas DA. Anatomic reconstruction of the posterior cruciate ligament after multiligament knee injuries. A combination of the tibial-inlay and two-femoral-tunnel techniques. Am J Sports Med 2003; 31 (2) 196-202
- 20 Berg EE. Posterior cruciate ligament tibial inlay reconstruction. Arthroscopy 1995; 11 (1) 69-76
- 21 Thomann YR, Gaechter A. Dorsal approach for reconstruction of the posterior cruciate ligament. Arch Orthop Trauma Surg 1994; 113 (3) 142-148
- 22 Abbott LC, Carpenter WF. Surgical approaches to the knee joint. J Bone Joint Surg Am 1945; 27 (2) 277-310
- 23 Trickey EL. Injuries to the posterior cruciate ligament: diagnosis and treatment of early injuries and reconstruction of late instability. Clin Orthop Relat Res 1980; 147 (147) 76-81
- 24 Park SE, Stamos BD, DeFrate LE, Gill TJ, Li G. The effect of posterior knee capsulotomy on posterior tibial translation during posterior cruciate ligament tibial inlay reconstruction. Am J Sports Med 2004; 32 (6) 1514-1519
- 25 Burks RT, Schaffer JJ. A simplified approach to the tibial attachment of the posterior cruciate ligament. Clin Orthop Relat Res 1990; 254 (254) 216-219
- 26 Nicandri GT, Klineberg EO, Wahl CJ, Mills WJ. Treatment of posterior cruciate ligament tibial avulsion fractures through a modified open posterior approach: operative technique and 12- to 48-month outcomes. J Orthop Trauma 2008; 22 (5) 317-324
- 27 Trickey EL. Injuries to the posterior cruciate ligament: diagnosis and treatment of early injuries and reconstruction of late instability. Clin Orthop Relat Res 1980; 147 (147) 76-81
- 28 Jung Y-B, Tae S-K, Jung HJ, Lee K-H. Replacement of the torn posterior cruciate ligament with a mid-third patellar tendon graft with use of a modified tibial inlay method. J Bone Joint Surg Am 2004; 86-A (9) 1878-1883
- 29 Noyes FR, Medvecky MJ, Bhargava M. Arthroscopically assisted quadriceps double-bundle tibial inlay posterior cruciate ligament reconstruction: an analysis of techniques and a safe operative approach to the popliteal fossa. Arthroscopy 2003; 19 (8) 894-905
- 30 Lin YC, Chen SK, Liu TH, Cheng YM, Chou PP. Arthroscopic transtibial single-bundle posterior cruciate ligament reconstruction using patellar tendon graft compared with hamstring tendon graft. Arch Orthop Trauma Surg 2013; 133 (4) 523-530
- 31 Höher J, Scheffler S, Weiler A. Graft choice and graft fixation in PCL reconstruction. Knee Surg Sports Traumatol Arthrosc 2003; 11 (5) 297-306