Clinical Outcome of Arthroscopic Posterior Cruciate Ligament Reconstruction with Adjustable-Loop Femoral Cortical Suspension Devices

Sholahuddin Rhatomy; Jacky Ardianto  Horas; Asa Ibrahim Zainal  Asikin; Riky  Setyawan; Thomas Edison  Prasetyo; Ð•di  Ðœustamsir

doi:10.3889/oamjms.2019.644

Authors

Sholahuddin Rhatomy Department of Orthopaedics and Traumatology, Dr Soeradji Tirtonegoro General Hospital, Klaten, Indonesia; Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Jacky Ardianto Horas Soeradji Tirtonegoro Sport Center and Research Unit, Dr Soeradji Tirtonegoro General Hospital, Klaten, Indonesia
Asa Ibrahim Zainal Asikin Soeradji Tirtonegoro Sport Center and Research Unit, Dr Soeradji Tirtonegoro General Hospital, Klaten, Indonesia
Riky Setyawan Soeradji Tirtonegoro Sport Center and Research Unit, Dr Soeradji Tirtonegoro General Hospital, Klaten, Indonesia
Thomas Edison Prasetyo Soeradji Tirtonegoro Sport Center and Research Unit, Dr Soeradji Tirtonegoro General Hospital, Klaten, Indonesia
Ð•di Ðœustamsir Department of Orthopaedics and Traumatology, Dr Saiful Anwar General Hospital, Malang, Indonesia; Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2019.644

Keywords:

PCL, PCL reconstruction, Adjustable loop femoral cortical suspension devices, Peroneus longus

Abstract

BACKGROUND: Incidence of isolated posterior cruciate ligament (PCL) injury is lower than PCL rupture is associated with other knee injuries. Adjustable loop femoral cortical suspension device is commonly used for femoral graft fixation during PCL reconstruction.

AIM: This study purpose is to describe the functional outcome of PCL reconstruction using an adjustable loop femoral cortical suspension device.

METHODS: This study used prospective design with consecutive sampling. All patients underwent PCL reconstruction with adjustable loop femoral cortical suspension devices using peroneus longus tendon autograft. Patients were evaluated at 6 months after surgery using posterior drawer test and functional outcome scoring system (Lysholm knee score, Cincinnati Score and International Knee Documentation Committee (IKDC) score).

RESULTS: 20 patients were enrolled in this study with a mean age of 27.65 Â± 9.78. Lysholm knee means the score was improved from 59.80 Â± 18.73 pre-operative and 80.55 Â± 11.72 post-operative (p < 0.05). Cincinnati mean score was improved from 52.01 Â± 20.29 pre-operative to 72.95 Â± 15.26 post-operative (p < 0.05). IKDC mean score was improved from 48.36 Â± 13.18 at pre-operative to 72.5 Â± 13.13 post-operative (p < 0.05).

CONCLUSION: PCL reconstruction using adjustable loop femoral cortical suspension device using peroneus longus tendon autograft showed good clinical outcome and knee functional outcome (Lysholm, Cincinnati, and IKDC score) at 6 months follow-up.