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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-10-2017 | Knee

Combined reconstruction of the posterior cruciate ligament and medial collateral ligament using a single femoral tunnel

Authors: Marcelo Batista Bonadio, Camilo Partezani Helito, Noel Oizerovici Foni, Roberto Freire da Mota e Albuquerque, José Ricardo Pécora, Gilberto Luis Camanho, Marco Kawamura Demange, Fábio Janson Angelini

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2017

Abstract

Purpose

Lesions of the medial collateral ligament (MCL) are the most common knee ligament injuries, and lesions associated with the anterior cruciate ligament or the posterior cruciate ligament (PCL) in knee dislocations should be reconstructed to prevent failure of the central pivot reconstruction. The purpose of this study was to evaluate the outcomes of combined PCL/MCL reconstruction using a single femoral tunnel with a minimum 2-year follow-up.

Method

A retrospective study of thirteen patients with combined PCL/MCL injuries was conducted. The patients underwent PCL and MCL reconstruction using an Achilles tendon allograft with a single tunnel in the medial femoral condyle, thereby avoiding tunnel conversion.

Results

All patients achieved a range of motion of at least 100°. The mean loss of extension and flexion values compared to the contralateral side was 1° ± 2° and 9° ± 10°, respectively. Our results included 26 reconstructions with three (11.5 %) failures, two in the PCL (15.3 %) and one in the MCL (7.6 %), in three different patients. In the final evaluation, the mean IKDC subjective score was 71.63 ± 16.23, the mean Lysholm score was 80.08 ± 13.87, and the median Tegner score was 6 (range = 2–7).

Conclusion

The PCL/MCL reconstruction technique using a single femoral tunnel and an Achilles tendon allograft is safe, avoids the convergence of tunnels in the medial femoral condyle, has excellent results, and is reproducible.

Level of evidence

IV.

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Title: Combined reconstruction of the posterior cruciate ligament and medial collateral ligament using a single femoral tunnel
Authors: Marcelo Batista Bonadio
Camilo Partezani Helito
Noel Oizerovici Foni
Roberto Freire da Mota e Albuquerque
José Ricardo Pécora
Gilberto Luis Camanho
Marco Kawamura Demange
Fábio Janson Angelini
Publication date: 01-10-2017
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-016-4071-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Combined reconstruction of the posterior cruciate ligament and medial collateral ligament using a single femoral tunnel

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

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