Second-Look Arthroscopic Assessment of Arthroscopic Single-Bundle Posterior Cruciate Ligament Reconstruction Comparison of Mixed Graft Versus Achilles Tendon Allograft
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yang, Jae Hyuk | - |
dc.contributor.author | Yoon, Jung-Ro | - |
dc.contributor.author | Jeong, Hyeon-Il | - |
dc.contributor.author | Hwang, Dae-Hee | - |
dc.contributor.author | Woo, Sung-Jong | - |
dc.contributor.author | Kwon, Jae-Ho | - |
dc.contributor.author | Nha, Kyung-Wook | - |
dc.date.accessioned | 2022-07-16T17:24:01Z | - |
dc.date.available | 2022-07-16T17:24:01Z | - |
dc.date.created | 2021-05-13 | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0363-5465 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/166612 | - |
dc.description.abstract | Background: Although controversy continues over the choice of graft tissue, including autografts, allografts, and synthetic ligaments, for posterior cruciate ligament (PCL) reconstruction, the use of a mixed graft consisting of a hamstring (semitendinosus and gracilis) autograft plus tibialis anterior allograft tendon has not been studied in detail. Hypothesis: Outcomes of PCL reconstructions performed with a mixed graft would be superior to those using solely an Achilles tendon allograft in terms of functional knee scores, posterior stability, and the graft appearance. Study design: Cohort study; Level of evidence, 2. Methods: Fifty-eight patients who underwent isolated single-bundle PCL reconstruction using an arthroscopic trans-septal portal with remnant preservation technique were evaluated. They were divided into group A (mixed tendon; n = 30) and group B (Achilles tendon; n = 28). Knee function was evaluated using the Lysholm knee score, Tegner activity score, and the International Knee Documentation Committee (IKDC) grading scale. Anteroposterior stability was measured using the Telos stress view. Twenty patients (66.7%) from group A and 21 patients (75.0%) from group B underwent hardware removal and a second-look arthroscopic examination. Results: The Lysholm knee scores in groups A and B increased from a respective average of 43 and 50 preoperatively to 90 and 88 at follow-up. The IKDC grade and Tegner activity scores were also significantly improved in both groups. Stability was improved in both groups, with an average posterior laxity of 3.0 mm (group A) and 3.3 mm (group B) at follow-up (P > .05). However, there were 4 intraoperative complications in group B: 2 bone fractures and 2 graft pullouts during precyclic tensioning. Second-look arthroscopy revealed a partial tear in 8 cases (40%) from group A and 15 cases (71.4%) from group B (P = .03). All of the partial tears were located in the femoral aperture area. Complete synovial coverage was demonstrated in 10 patients (50%) from group A and 5 patients (23.8%) from group B (P = .04). However, clinical outcomes and stability were not affected by the arthroscopic graft appearance. Conclusion: Satisfactory results were obtained for groups A and B in patients who underwent reconstruction for isolated PCL injury. However, 4 intraoperative complications (14.3%) were encountered with use of the Achilles tendon allograft (group B), with a relative higher rate of partial tear and less synovialization in the femoral aperture area. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SAGE PUBLICATIONS INC | - |
dc.title | Second-Look Arthroscopic Assessment of Arthroscopic Single-Bundle Posterior Cruciate Ligament Reconstruction Comparison of Mixed Graft Versus Achilles Tendon Allograft | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yang, Jae Hyuk | - |
dc.identifier.doi | 10.1177/0363546512454532 | - |
dc.identifier.scopusid | 2-s2.0-84866014589 | - |
dc.identifier.wosid | 000308230600021 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF SPORTS MEDICINE, v.40, no.9, pp.2052 - 2060 | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF SPORTS MEDICINE | - |
dc.citation.title | AMERICAN JOURNAL OF SPORTS MEDICINE | - |
dc.citation.volume | 40 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 2052 | - |
dc.citation.endPage | 2060 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Sport Sciences | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Sport Sciences | - |
dc.subject.keywordPlus | 2-YEAR FOLLOW-UP | - |
dc.subject.keywordPlus | PCL RECONSTRUCTION | - |
dc.subject.keywordPlus | NATURAL-HISTORY | - |
dc.subject.keywordPlus | DEFICIENT KNEE | - |
dc.subject.keywordPlus | INJURIES | - |
dc.subject.keywordPlus | FIXATION | - |
dc.subject.keywordPlus | AUGMENTATION | - |
dc.subject.keywordAuthor | Achilles tendon allograft | - |
dc.subject.keywordAuthor | isolated posterior cruciate ligament injury | - |
dc.subject.keywordAuthor | mixed graft | - |
dc.subject.keywordAuthor | reconstruction | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.