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Single compared to double-bundle PCL reconstruction using allograft tissue.

Gregory C Fanelli1, John D Beck, Craig J Edson

  • 1Department of Geisinger Sports Medicine and Orthopaedic Surgery, Danville, Pennsylvania, USA. gregorycfanelli@gmail.com

The Journal of Knee Surgery
|May 26, 2012
PubMed
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Both single-bundle and double-bundle posterior cruciate ligament (PCL) reconstructions using allograft tissue show successful outcomes for PCL-based multiple ligament knee injuries. Evaluations included stress radiography, arthrometer measurements, and knee ligament rating scales.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Posterior cruciate ligament (PCL) injuries often occur in conjunction with other knee ligament damage.
  • Allograft tissue is a viable option for PCL reconstruction, but optimal surgical technique remains debated.

Purpose of the Study:

  • To compare the clinical and radiological outcomes of single-bundle versus double-bundle PCL reconstructions using allograft tissue.
  • To evaluate the efficacy of arthroscopic transtibial tunnel techniques in PCL reconstruction for multiple ligament injuries.

Main Methods:

  • A consecutive series of 90 arthroscopic transtibial PCL reconstructions using allograft tissue were analyzed.
  • 45 single-bundle and 45 double-bundle reconstructions were performed using Achilles tendon and tibialis anterior allografts.

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  • Postoperative evaluations included KT-1000 arthrometer testing, knee ligament rating scales, and Telos stress radiography.
  • Main Results:

    • Both single-bundle and double-bundle PCL reconstructions demonstrated successful outcomes.
    • No significant differences were noted between the two techniques when assessed by stress radiography, arthrometer measurements, and knee ligament rating scales.

    Conclusions:

    • Arthroscopic transtibial tunnel single-bundle and double-bundle PCL reconstructions using allograft tissue are effective for PCL-based multiple ligament injured knees.
    • Both techniques provide successful functional and stability outcomes in the evaluated patient cohort.