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Simultaneous arthroscopic ACL and PCL reconstruction using allograft Achilles tendon
Mohsen Mardani-Kivi1, Mahmoud Karimi-Mobarakeh2, Keyvan Hashemi-Motlagh3
1Orthopedic Department, Guilan University of Medical Sciences, Rasht, Iran.
Journal of Clinical Orthopaedics and Trauma
|November 8, 2019
Summary
Simultaneous arthroscopic reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) injuries using Achilles tendon allografts improved knee function and stability. Patients reported high satisfaction and no further instability after the procedure.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Biomaterials in reconstruction
Background:
- Multi-ligamentous knee injuries, particularly those involving the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL), are uncommon yet lead to significant functional deficits and necessitate further surgical interventions.
- These debilitating injuries often result in long-term functional disabilities, impacting patients' quality of life and activity levels.
Purpose of the Study:
- To evaluate the clinical outcomes of simultaneous arthroscopic reconstruction of combined ACL and PCL injuries.
- To assess the efficacy of using allograft Achilles tendon for simultaneous ACL and PCL reconstruction.
Main Methods:
- A case-series study involving patients with combined ACL-PCL injuries treated between January 2010 and January 2014.
- Simultaneous arthroscopic reconstruction of ACL and PCL was performed using allograft Achilles tendon.
- Outcomes including range of motion, knee stability, functional assessments, and patient satisfaction were evaluated at multiple follow-up intervals (3, 6, 12, 24 months, and final follow-up).
Main Results:
- Twenty-eight patients (75% male, mean age 30.86 years) with a mean follow-up of 35.7 months were included.
- Significant improvements in knee function, stability, and range of motion were observed throughout the follow-up period.
- At final follow-up, patients reported no instances of knee instability ('giving way') and expressed complete satisfaction with the surgical outcomes.
Conclusions:
- Simultaneous arthroscopic reconstruction of the ACL and PCL using Achilles tendon allograft is an effective treatment for combined cruciate ligament injuries.
- The procedure yields appropriate functional outcomes and an acceptable range of motion, leading to high patient satisfaction.
- This surgical technique offers a viable solution for complex knee instabilities, restoring function and stability.
