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Comparison of 1-and 2-Incision Posterior Cruciate Ligament Reconstructions

 Sung-Jae Kim  ;  Sang-Jin Shin  ;  Hyun-Kon Kim  ;  Jun-Seop Jahng  ;  Han-Sik Kim 
 Arthroscopy - the Journal of Arthroscopic and Related Surgery, Vol.16(3) : 268-278, 2000 
Journal Title
 Arthroscopy - the Journal of Arthroscopic and Related Surgery 
Issue Date
Adolescent ; Adult ; Arthroscopy/methods* ; Female ; Graft Survival ; Humans ; Knee Injuries/diagnostic imaging ; Knee Injuries/surgery ; Ligaments, Articular/transplantation ; Male ; Middle Aged ; Posterior Cruciate Ligament/diagnostic imaging ; Posterior Cruciate Ligament/injuries ; Posterior Cruciate Ligament/surgery* ; Prognosis ; Radiography ; Range of Motion, Articular ; Reconstructive Surgical Procedures/methods* ; Sensitivity and Specificity ; Transplantation, Autologous ; Transplantation, Homologous ; Treatment Outcome
Posterior cruciate ligament ; Arthroscopy ; Reconstruction ; One-incision
This study compared the results of the 1-incision technique and the conventional 2- incision technique for the arthroscopic treatment of the posterior cruciate ligament (PCL) injury. The 2-incision technique was performed in 10 patients (group I) and the 1-incision technique in 45 patients (group II). The average duration of follow-up was 45 months in group I and 36 months in group II. Bone-patellar tendon-bone (BTB) autografts were used for all patients in group I. In group II, 34 BTB autografts and 11 BTB allografts were used. Postoperative Lysholm mean values were 90.0 in group I and 90.6 in group II. HSS mean values were 87.7 in group I and 92.6 in group II (P = .037). The Tegner activity level scales were 6.4 in group I and 6.5 in group II. The average side-to-side difference of the corrected posterior translation measured by the KT-2000 arthrometer were 2.10 mm in group I and 2.38 mm in group II. There were no statistically significant differences between the 2 groups in postoperative mean values except HSS scores. The arthroscopic PCL reconstruction using the 1-incision technique showed good results comparable with the conventional 2-incision technique. This technique needs no another incision or dissection over the medial femoral condyle.
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1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Jae(김성재)
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