Cargando…
Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report
The optimum therapy of a torn PCL in multiligamental-injured knees is controversially discussed in literature. As conservative treatment and PCL reconstruction alone mostly lead to long-term immobilization, we performed a single stage PCL bracing with ACL reconstruction using ACL TightRopes® and Fib...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6962691/ https://www.ncbi.nlm.nih.gov/pubmed/31956688 http://dx.doi.org/10.1016/j.tcr.2020.100279 |
_version_ | 1783488193589411840 |
---|---|
author | Scheck, Jonas Chakraborty, André Zimmermann, Gerald |
author_facet | Scheck, Jonas Chakraborty, André Zimmermann, Gerald |
author_sort | Scheck, Jonas |
collection | PubMed |
description | The optimum therapy of a torn PCL in multiligamental-injured knees is controversially discussed in literature. As conservative treatment and PCL reconstruction alone mostly lead to long-term immobilization, we performed a single stage PCL bracing with ACL reconstruction using ACL TightRopes® and Fiber-/TigerTapes® to accelerate back-to-sport after multiligamental knee injury with bicrucial tears. The brace consisted of two FiberTapes which were looped in an ACL TightRope and transosseously fixed with a Dog Bone-Button®. The ACL reconstruction was performed by a fourfolded semitendinosus graft in TightRope® technique. We chose an active rehabilitation-protocol with immediately allowed knee flexion to 90° in an ACL brace. This led to excellent results with resumption of sports after 6 months and good subjective and objective knee stability measured with a KT-1000. Our results hint that our method of bracing a torn PCL in multiligamental knee injuries may lead to faster rehabilitation with comparable knee stability. |
format | Online Article Text |
id | pubmed-6962691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-69626912020-01-17 Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report Scheck, Jonas Chakraborty, André Zimmermann, Gerald Trauma Case Rep Case Report The optimum therapy of a torn PCL in multiligamental-injured knees is controversially discussed in literature. As conservative treatment and PCL reconstruction alone mostly lead to long-term immobilization, we performed a single stage PCL bracing with ACL reconstruction using ACL TightRopes® and Fiber-/TigerTapes® to accelerate back-to-sport after multiligamental knee injury with bicrucial tears. The brace consisted of two FiberTapes which were looped in an ACL TightRope and transosseously fixed with a Dog Bone-Button®. The ACL reconstruction was performed by a fourfolded semitendinosus graft in TightRope® technique. We chose an active rehabilitation-protocol with immediately allowed knee flexion to 90° in an ACL brace. This led to excellent results with resumption of sports after 6 months and good subjective and objective knee stability measured with a KT-1000. Our results hint that our method of bracing a torn PCL in multiligamental knee injuries may lead to faster rehabilitation with comparable knee stability. Elsevier 2020-01-15 /pmc/articles/PMC6962691/ /pubmed/31956688 http://dx.doi.org/10.1016/j.tcr.2020.100279 Text en © 2020 The Authors 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 | Case Report Scheck, Jonas Chakraborty, André Zimmermann, Gerald Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report |
title | Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report |
title_full | Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report |
title_fullStr | Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report |
title_full_unstemmed | Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report |
title_short | Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report |
title_sort | arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – a technical report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6962691/ https://www.ncbi.nlm.nih.gov/pubmed/31956688 http://dx.doi.org/10.1016/j.tcr.2020.100279 |
work_keys_str_mv | AT scheckjonas arthroscopicsuturebracingofposteriorcruciateligamentinamultipleligamentkneeinjuryatechnicalreport AT chakrabortyandre arthroscopicsuturebracingofposteriorcruciateligamentinamultipleligamentkneeinjuryatechnicalreport AT zimmermanngerald arthroscopicsuturebracingofposteriorcruciateligamentinamultipleligamentkneeinjuryatechnicalreport |