| Endoscopically-assisted single-bundle posterior cruciate ligament reconstruction: results at minimum ten-year follow-up. | |
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MedLine Citation:
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PMID: 18827243 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We evaluated the long-term outcome of isolated endoscopically-assisted posterior cruciate ligament reconstruction in 26 patients using hamstring tendon autografts after failure of conservative management. At ten years after surgery the mean International Knee Documentation Committee subjective knee score was 87 (SD 14) of a possible 100 points. Regular participation in moderate to strenuous activities was possible for only seven patients pre-operatively; this increased to 23 patients post-operatively. The mean Lysholm score improved from 64 (SD 15) to 90 (SD 14) at ten years (p = 0.001). At ten years endoscopic reconstruction of the posterior cruciate ligament with hamstring tendon autograft is effective in reducing knee symptoms. Of the series, 22 patients underwent radiological assessment for the development of osteoarthritis using the Kellgren-Lawrence grading scale. In four patients, grade 2 changes with loss of joint space was observed and another four patients showed osteophyte formation with moderate joint space narrowing (grade 3). These findings compared favourably with non-operatively managed injuries of the posterior cruciate ligament. This procedure for symptomatic patients with posterior cruciate ligament laxity who have failed conservative management offers good results. |
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Authors:
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W F M Jackson; W M van der Tempel; L J Salmon; H A Williams; L A Pinczewski |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 90 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-01 Completed Date: 2008-10-27 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 1328-33 Citation Subset: AIM; IM |
Affiliation:
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Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arthroscopy Exercise Test Female Follow-Up Studies Humans Knee Joint / physiopathology, radiography, surgery* Male Menisci, Tibial / radiography, surgery Middle Aged Osteoarthritis, Knee / physiopathology, radiography, surgery* Posterior Cruciate Ligament / injuries, surgery* Prospective Studies Range of Motion, Articular / physiology Tendons / transplantation* Treatment Outcome |
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