CLINICAL AND FUNCTIONAL RESULTS AFTER POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

Introduction: Posterior cruciate ligament injuries are uncommon and their management is still controversial. Acute or chronic symptomatic lesions necessitate surgical reconstruction. The present study aimed to analyze patients reported outcomes after posterior cruciate ligament reconstruction with or without simultaneous meniscal repair.

Materials and Methods: The present study included seven patients with posterior cruciate ligament rupture. Four patients presented isolated injury and three patients had concomitant meniscal tears. All patients were treated arthroscopically using single-bundle hamstring autograft ligament reconstruction. Meniscal injuries were repaired using all-inside technique. The primary outcome was the IKDC score and secondary outcomes included the Lysholm score and stability assessment using the “dial test” and the posterior drawer test.

Results: At the time of the surgery the mean age was 30 years (range, 20-46) and the mean time from injury was 5 months (range, 1-8). The mean follow-up was 24 months (range, 19-27). The mean IKDC score was significantly increased from 67.36 to 92.85 (p<0.05). The Lysholm score was also increased from 68.3 to 98.4. Knee stability was classified as normal or nearly normal in all patients after surgery.

Conclusion: The results of this study indicate that posterior cruciate ligament reconstruction in symptomatic patients provides good functional results at two years of follow-up.