• Der Unfallchirurg · Aug 2020

    [Modified arthroscopic technique to replace the posterior cruciate ligament in multiligament knee injuries : Results compared to open tibial inlay technique].

    • Maren Janko, Lisa Seufert, David Schramm, Ingo Marzi, and Johannes Frank.
    • Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Frankfurt, Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland. maren.janko@kgu.de.
    • Unfallchirurg. 2020 Aug 1; 123 (8): 625-633.

    BackgroundThere is no standard procedure regarding surgical treatment of multiligament knee injuries involving rupture of the posterior cruciate ligament.ObjectiveDoes the modified and purely arthroscopic operation technique show similarly good results compared to the familiar open tibial inlay technique?MethodsA total of four patients were surgically treated using the open tibial inlay technique (group A) and seven using the modified arthroscopic approach (group B). The prospectively designed follow-up examination comprised the Lysholm score, the subjective questionnaire of the International Knee Documentation Committee (IKDC) score as well as the specifically extended Orthopedic Working Group Knee (OAK) score for clinical assessment. Tests on translational movability of the knee joint were performed with the Rolimeter®. The level of statistical significance alpha was set at 5%.ResultsThe follow-up examination took place on average 28.5 ± 19.60 months and 30.6 ± 26.26 months postoperatively in groups A and B, respectively. Groups A and B recorded mean 70.3 ± 5.32 and 69.6 ± 19.82 points in the Lysholm score, respectively. In the subjective IKDC score group A showed 67.3 ± 7.76 points and group B 65.9 ± 12.35 points. The OAK score was 77.5 ± 6.10 points in group A and 75.3 ± 11.31 points in group B. The side difference in the posterior drawer test was 1.75 ± 1.192 mm in group A and 2.50 ± 2.160 mm in group B. In the reverse Lachman test differences of 2.37 ± 2.175 mm and 3.22 ± 2.059 mm were measured in groups A and B, respectively. All values showed no significant differences between the two evaluated groups.ConclusionThe results of the two operation techniques were not significantly different. The arthroscopic approach is therefore regarded as the preferred method in this institute.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…