Vidal RFA, Barrera GM, González RF, Cuevas RM

Language: Spanish
References: 8
Page: 164-166
PDF size: 55.97 Kb.

ABSTRACT

This is a prospective, observational and descriptive trial for evaluation of our technique for reconstruction of isolated injuries of the posterior cruciate ligament of the knee; 16 patients from 2 hospitals: 9 cases from IMSS and 7 from ISSSTE. There were 12 males and 4 females. Aged was 15 to 35 years. Posterior drawer of 10 mm or more was present in all. Diagnostic arthroscopy was performed, which was followed by open harvesting of semitendinosus-gracilis graft and tibial tunneling. Arthroscopy again was used for femoral tunneling. Immobilization of the knee was applied for 6 weeks followed by a gentle rehabilitation. Blount staples were used for fixing the grafts in 13 cases. Overall excellent results were obtained in 43.75%, good in 31.25%, fair in 25% and poor in 0. In good and fair results (56.25%) tendinous transposition becomes dynamic in extension of the knee. Lachman sign was negative in all. It is concluded that success of operation depends on the proper selection of patients as well as on the isometric transposition of tendinous graft.

REFERENCES

1. Fanelli CG y cols. Asistencia artroscópica en la reconstrucción del ligamento cruzado posterior combinado con el complejo posterolateral. Arthroscopy 1996; 12(5): 521-30.

2. Fanelli CG y cols. Evaluación y tratamiento artroscópico del ligamento cruzado posterior. Arthroscopy 1994; 10(6): 673-87.

3. Malek MM, Fanelli CG. Reconstrucción artroscópica del LCP. In: Bertram Zarins, Principios de Artroscopía y cirugía artroscópica. Barcelona: Springer-Verlag Ibérica, 1993; 14-71.

4. Morgan DC, Kalman RV, Grawl MD. El origen anatómico del ligamento cruzado posterior: ¿en dónde está? Referencias para la reconstrucción del LCP. Arthroscopy 1997; 13(3): 325-31.

5. Racanelli AJ, Drez D. Parámetros radiográficos y anatómicos para la realización del túnel tibial en la reconstrucción del LCP. Arthroscopy 1994; 10(5): 546-9.

6. Robert WB. Orthopaedic decision making. 2ª ed. USA: Mosby Year Book Inc 1996; 494-5.

7. Shino Konsely y cols. Reconstrucción del LCP utilizando tendones de la pata de ganso: técnica de una incisión con endobotón. Arthroscopy 1996; 12(5): 638-42.

8. Tapper EM, Hoover NW. Resultados tardíos de la meniscectomía. J Bone J Surg 1969; 5A: 517.