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Updated: May 29, 2025
Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
Published on: October 20, 2023
All-inside technique for isolated posterior cruciate ligament tears: Surgical technique and outcomes
Stefano Petrillo1, Filippo Migliorini2,3, Fabrizio Bertelle1
1Joint Replacement Department, IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy.
Introduction:
The aim of this paper is to describe all-inside posterior cruciate ligament (aiPCL) reconstruction surgical technique and to report complications and outcomes in female patients with isolated posterior cruciate ligament (PCL) tears.
Methods:
Preoperative and postoperative evaluations included posterior drawer test, dial test at 30o and 90o of knee flexion, Tegner score, and Lysholm score. The mean follow-up was 33.12 months (range 12-74).
Results:
Twenty-five female patients with grade II or grade III isolated lesions of the PCL underwent aiPCL reconstruction. The mean age of the patients at the time of surgery was 29.7 ± 12.9 years, while the mean time from injury to surgery was 11 months (range 12-324). No intraoperative/postoperative complications occurred. At the last follow-up, 16 (69.5 %) and 5 (21.5 %) patients had a grade A and B posterior drawer test, respectively, while the dial test (30o and 90o of knee flexion) was negative in all patients. The mean preoperative Lysholm score was 64.08 ± 13.06 points (range 37-85 points), while the mean postoperative Lysholm score was 88.12 ± 13.33 points (range 50-100 points) (p<0.0001). No statistically significant differences were found comparing preoperative and postoperative Tegner score results.
Conclusions:
The arthroscopic aiPCL reconstruction seems safe and effective.
