Autograft anatomic double bundle PCL reconstruction and functional outcome

Abstract

Introduction: it is well known that the posterior cruciate ligament (PCL) is the main stabilizer to posterior tibial translation in the knee. Anatomic double-bundle reconstruction has recently been proposed to best restore posterior and rotational tibial instability, especially compared with a single-bundle PCL reconstruction (PCLR). Most publications in the peer-reviewed literature on double-bundle PCLR have used allografts. However, in many countries, allografts are not available. Objective(s): describe an all-autograft arthroscopic technique for PCLR using the quadriceps and semitendinosus tendons and evaluate it functional outcome. Material(s) and Method(s): restrospective study of an all-autograft arthroscopic technique for PCLR using the quadriceps and semitendinosus tendons with a follow up of 15 months in 10 patients. Four patients with isolated PCL and 6 with multiligament injury 4 PLC; 1 ACL; (1ACL + PLC) Patients were evaluated preop with stress x rays and MRI and postop using Lysohlm and IKDC scores. Result(s): lysolhm score were good and excellent while IKDC was normal. No serious complications where found. Conclusion(s): anatomic PCL reconstruction with autograft is a useful technique with good functional outcomes especially when allograft is not available for economic or cultural causes.