Double-Bundle PCL Reconstruction in the Multiple-Ligament Injured Knee
نویسندگان
چکیده
Background: Multi-ligament knee injuries and dislocations are potentially devastating that typically result in injury to both cruciate ligaments variable collateral ligament complexes. Indications: Surgical intervention leads better patient outcomes than nonoperative management. We describe our preferred technique for bicruciate reconstruction with a focus on double-bundle posterior (PCL) reconstruction. Technique Description: A transtibial approach is used drill the PCL tibial tunnel. safety incision proximal medial tibia, which may incorporate distal aspect of medial-sided (MCL) reconstruction, allows palpation fovea anatomic tunnel placement, protection neurovascular structures, egress arthroscopic fluid during case. This uses an inside-out creation 2 femoral sockets recreate bundles. The grafts passed antegrade fashion, passage fixation posteromedial (PM) bundle followed by anterolateral (AL) bundle. After anterior (ACL) graft femur standard attention turned tibia-sided fixation. use screw spiked washer fix AL at 90° flexion drawer maneuver. PM then fixed polyetheretherketone (PEEK) interference near full extension. Fixation ACL tibia fashion completes Results: In biomechanical cadaveric studies, has been shown more closely approximate native kinematics, restraint translation all angles less internal rotation laxity higher angles. clinical results, single-bundle reconstructions improve stability patient-reported outcomes. Double-bundle provide improved objective International Knee Documentation Committee (IKDC) scores. Discussion: can be performed efficiently good residual or Patient Consent Disclosure Statement: author(s) attests consent obtained from any patient(s) appearing this publication. If individual identifiable, included statement release other written form approval submission
منابع مشابه
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ژورنال
عنوان ژورنال: Video journal of sports medicine
سال: 2023
ISSN: ['2635-0254']
DOI: https://doi.org/10.1177/26350254231176828