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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 10, 1328-1333.
doi: 10.1302/0301-620X.90B10.20517  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Endoscopically-assisted single-bundle posterior cruciate ligament reconstruction

RESULTS AT MINIMUM TEN-YEAR FOLLOW-UP

W. F. M. Jackson, FRCS(Tr&Orth), Orthopaedic Fellow1; W. M. van der Tempel, MD, Medical Student2; L. J. Salmon, PhD, Research Physiotherapist3; H. A. Williams, MScMed, Research Physiotherapist3; and L. A. Pinczewski, FRACS, Consultant Orthopaedic Surgeon3

1 Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK.
2 University Medical Center Groningen, MWF-complex, A. Deusinglaan 1, Groningen, The Netherlands.
3 North Sydney Orthopaedic and Sports Medicine Centre, 286 Pacific Highway, Crows Nest, Sydney, New South Wales 2065, Australia.

Correspondence should be sent to Dr L. Salmon; e-mail: lsalmon{at}nsosmc.com.au

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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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General