Clinical outcome of arthroscopic repair of the posterior cruciate ligament

1999 ◽  
Vol 102 (5) ◽  
pp. 354-358 ◽  
Author(s):  
R. Becker ◽  
M. Röpke ◽  
W. Nebelung
Keyword(s):  
Clinical Outcome ◽  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Arthroscopic Repair

scholarly journals Arthroscopic Repair of Proximal Posterior Cruciate Ligament Injuries in Pediatric Patients

2019 ◽  
Vol 8 (7) ◽  
pp. e691-e695 ◽  
Author(s):  
Gabriele Pisanu ◽  
João Luís Moura ◽  
Adnan Saithna ◽  
Bertrand Sonnery-Cottet
Keyword(s):  
Posterior Cruciate Ligament ◽  
Pediatric Patients ◽  
Cruciate Ligament ◽  
Arthroscopic Repair ◽  
Ligament Injuries

Treatment of Tibial Avulsion Fracture of Posterior Cruciate Ligament by Open Reduction and Internal Fixation

2020 ◽  
Vol 9 (1) ◽  
pp. 17-21
Author(s):  
Ranjib Kumar Jha ◽  
Santosh Thapa
Keyword(s):  
Clinical Outcome ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Posterior Cruciate Ligament ◽  
Open Reduction ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Avulsion Injury ◽  
The Mean

Background: An avulsion fracture of posterior cruciate ligament from tibial attachment is more common in younger age group. It should be fixed otherwise it may lead to secondary changes in knee. Various techniques and approaches are available to fix posterior cruciate ligament avulsion. Different biomechanical studies have shown that, results both open and arthroscopic methods of fixation of posterior cruciate ligament avulsion by screws are comparable. The purpose of study is to evaluate functional and clinical outcome of open reduction and fixation of posterior cruciate ligament avulsion injury through posteromedial approach. Materials and Methods: The study enrolled 19 cases of isolated posterior cruciate ligament avulsion injury with mean age of 33.21±9.07 year. All cases were treated by open reduction and internal fixation through modified posterior approach. The patients having duration of injury more than 12 weeks were excluded. The minimum follow up duration was 12 months. Results were assessed clinically and radiologically. Final functional outcome was assessed using the Lysholm scoring for knee. Results: The mean duration of follow up was 14±1.85 months. All patients achieved union at 3months. At final follow up the mean range of motion was 125.42±6.37 degree (range 110 to 135 degree) without any extensor lag. The functional outcome assessed by Lysholm scoring system was excellent in 15 cases and good in 4 cases. Conclusion: Open reduction and internal fixation with early range of motion exercises provides good clinical outcome and stable knee.

scholarly journals Vascular Complications in Arthroscopic Repair Of Posterior Cruciate Ligament

2017 ◽  
Vol 5 (1_suppl) ◽  
pp. 2325967117S0001
Author(s):  
Juan Ignacio Agotegaray ◽  
Ignacio Comba ◽  
Luciana Bisiach ◽  
María Emilia Grignaffini
Keyword(s):  
Vascular Surgery ◽  
Posterior Cruciate Ligament ◽  
Popliteal Artery ◽  
Cruciate Ligament ◽  
Vascular Complications ◽  
Arthroscopic Repair ◽  
Vascular Lesions ◽  
Posterior Tibial Translation ◽  
Posterior Tibial ◽  
Tibial Translation

Introduction: Posterior cruciate ligament is the primary stabilizer of the knee. Among the potential complications in arthroscopic repair of this ligament, there are vascular lesions, due to laceration, thrombosis and injury of the intima of the popliteal artery. We used one case to show the vascular complications that may arise in arthroscopic repair of the posterior cruciate ligament, how to handle it and the results. Methods: One patient, 33 years old, with a history of traffic accident. In a physical exam the patient shows pain and swelling of the knee, positive posterior drawer test and positive Godfrey test. X-rays on the knee show posterior tibial translation and MRI a complete fibers rupture at the middle third of the posterior cruciate ligament. An arthroscopic repair surgery was scheduled three weeks after trauma, with PCL reconstruction using simple band technique.After surgical intervention, hemostatic cuff was released, no peripheral pulse, paleness and coldness of the member was confirmed. An arteriography was carried out, which confirmed absences of distal vascular filling in the popliteal artery. An urgent referral was carried out with Vascular Surgery Services, who had been informed of the surgery previously (a notification that is part of our routine for this kind of interventions). Arteriorrhaphy and venorrhaphy of the popliteal arteries was fulfilled 12 hours later, with a leg fasciotomy. Daily monitoring was performed, and after 72 hours, muscle necrosis is seen with wound drainage, analysis shows presence of gram-negative bacilli, Proteus Mirabilis-Pseudomonas spp and the lab results showed leukocytes: 8.700/ml, ESR: 58, CRP: 48. A new surgery is performed with complete resection of the anterior external compartment of the leg, and a system of continuous cleansing is applied with physiological saline solution and boric acid for 14 days until drainage is eliminated. Vancomycin and ceftazidime EV was indicated for 14 days and, after a good evolution of the wounds, patient is discharged from hospital with Sulfamethoxazole/trimethoprim 160mg/800mg to be taken orally for 14 days. Results: After treatment with oral antibiotic is completed, wounds progress positively. Foot in equinus position, has positive distal pulses with distal sensibility. Use of a thermoforming brace is indicated for movement. Vascular Surgery Services are currently following patient’s evolution. An ankle arthrodesis surgery is evaluated for the future. Conclusion: Combined injuries that result in a posterior tibial translation over 15 mm and, those that come along with injuries in the anterior cruciate ligament or posterior lateral structures of the knee, should be repaired through surgery. Vascular lesion caused by laceration, thrombosis or injury of the intima of the popliteal artery, mainly during perforation and preparation of tibial tunnel, is a serious lesion. Although these vascular lesions during arthroscopy are complications relatively rare, a potential risk should be considered, with consequences that could be fatal for the extremity and for patient’s life when bleeding is involved. In those cases, urgent treatment is imperative, that is the reason we believe it is safe to coordinate with Vascular Surgery Services before the surgery is carried out.

Clinical outcome after reconstruction for isolated posterior cruciate ligament injury

2010 ◽  
Vol 18 (11) ◽  
pp. 1568-1572 ◽  
Author(s):  
Odd Arve Lien ◽  
Emilie Jul-Larsen Aas ◽  
Steinar Johansen ◽  
Tom Clement Ludvigsen ◽  
Wender Figved ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Ligament Injury ◽  
Posterior Cruciate Ligament Injury
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