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Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()

OBJECTIVE: To present the outcomes of posterior cruciate ligament (PCL) double-bundle reconstruction using autologous hamstring tendons, with a minimum follow-up of two years. METHODS: Evaluation of 16 cases of PCL injury that underwent double-bundle reconstruction with autogenous hamstring tendons,...

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Autores principales: Cury, Ricardo de Paula Leite, Castro Filho, Rômulo Neves, Sadatsune, Daniel Akira, do Prado, Davi Ribeiro, Gonçalves, Ricardo José Peruzzo, Mestriner, Marcos Barbieri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5380800/
https://www.ncbi.nlm.nih.gov/pubmed/28409139
http://dx.doi.org/10.1016/j.rboe.2017.02.006
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author Cury, Ricardo de Paula Leite
Castro Filho, Rômulo Neves
Sadatsune, Daniel Akira
do Prado, Davi Ribeiro
Gonçalves, Ricardo José Peruzzo
Mestriner, Marcos Barbieri
author_facet Cury, Ricardo de Paula Leite
Castro Filho, Rômulo Neves
Sadatsune, Daniel Akira
do Prado, Davi Ribeiro
Gonçalves, Ricardo José Peruzzo
Mestriner, Marcos Barbieri
author_sort Cury, Ricardo de Paula Leite
collection PubMed
description OBJECTIVE: To present the outcomes of posterior cruciate ligament (PCL) double-bundle reconstruction using autologous hamstring tendons, with a minimum follow-up of two years. METHODS: Evaluation of 16 cases of PCL injury that underwent double-bundle reconstruction with autogenous hamstring tendons, between 2011 and 2013. The final sample consisted of 16 patients, 15 men and one woman, with a mean age of 31 years (21–49). The predominant mechanism was motorcycle accident in half of the cases. There was a mean interval of 15 months between the time of lesion and the surgery (three to 52 months). Five lesions were isolated and 11, associated. Clinical evaluation, application of validated scores, and measurements with use of the KT-1000 were performed. RESULTS: The analysis showed a mean preoperative Lysholm score of 50 points (28–87), progressing to 94 points (85–100) postoperatively. The IKDC score also demonstrated improvement. In the preoperative evaluation, four and 12 patients were respectively classified as C (abnormal) and D (very unusual), and in the postoperative evaluation six as A (normal) and ten as B (close to normal). In the post-operative evaluation by KT1000 arthrometer, 13 patients showed difference between 0–2 mm and 3 between 3 and 5 mm, when compared with the contralateral side. CONCLUSION: Autologous hamstring tendons are a viable option in double-bundle reconstruction of the PCL, with good clinical results in a minimum follow-up of two years.
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spelling pubmed-53808002017-04-13 Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up() Cury, Ricardo de Paula Leite Castro Filho, Rômulo Neves Sadatsune, Daniel Akira do Prado, Davi Ribeiro Gonçalves, Ricardo José Peruzzo Mestriner, Marcos Barbieri Rev Bras Ortop Original Article OBJECTIVE: To present the outcomes of posterior cruciate ligament (PCL) double-bundle reconstruction using autologous hamstring tendons, with a minimum follow-up of two years. METHODS: Evaluation of 16 cases of PCL injury that underwent double-bundle reconstruction with autogenous hamstring tendons, between 2011 and 2013. The final sample consisted of 16 patients, 15 men and one woman, with a mean age of 31 years (21–49). The predominant mechanism was motorcycle accident in half of the cases. There was a mean interval of 15 months between the time of lesion and the surgery (three to 52 months). Five lesions were isolated and 11, associated. Clinical evaluation, application of validated scores, and measurements with use of the KT-1000 were performed. RESULTS: The analysis showed a mean preoperative Lysholm score of 50 points (28–87), progressing to 94 points (85–100) postoperatively. The IKDC score also demonstrated improvement. In the preoperative evaluation, four and 12 patients were respectively classified as C (abnormal) and D (very unusual), and in the postoperative evaluation six as A (normal) and ten as B (close to normal). In the post-operative evaluation by KT1000 arthrometer, 13 patients showed difference between 0–2 mm and 3 between 3 and 5 mm, when compared with the contralateral side. CONCLUSION: Autologous hamstring tendons are a viable option in double-bundle reconstruction of the PCL, with good clinical results in a minimum follow-up of two years. Elsevier 2017-03-06 /pmc/articles/PMC5380800/ /pubmed/28409139 http://dx.doi.org/10.1016/j.rboe.2017.02.006 Text en © 2016 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora Ltda. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Cury, Ricardo de Paula Leite
Castro Filho, Rômulo Neves
Sadatsune, Daniel Akira
do Prado, Davi Ribeiro
Gonçalves, Ricardo José Peruzzo
Mestriner, Marcos Barbieri
Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()
title Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()
title_full Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()
title_fullStr Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()
title_full_unstemmed Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()
title_short Double-bundle PCL reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()
title_sort double-bundle pcl reconstruction using autologous hamstring tendons: outcome with a minimum 2-year follow-up()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5380800/
https://www.ncbi.nlm.nih.gov/pubmed/28409139
http://dx.doi.org/10.1016/j.rboe.2017.02.006
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