Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries

tasdemir, zeki; ŞAHİN, Ercan; ZEHİR, Sinan; ÇALBIYIK, MURAT; ELMALI, Nurzat; Karakaplan, Mustafa

Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries

Sinan ZEHİR, (Hitit Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Çorum, Türkiye)

Nurzat ELMALI, (Bezmialem Vakıf Üniversitesi, Tıp Fakültesi, Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Ercan ŞAHİN, (Bülent Ecevit Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Zonguldak, Türkiye)

Murat ÇALBIYIK, (Hitit Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Çorum, Türkiye)

Mustafa KARAKAPLAN, (İnönü Üniversitesi, Turgut Özal Tıp Merkezi, Ortopedi ve Travmatoloji Anabilim Dalı, Malatya, Türkiye)

Zeki TAŞDEMİR (Bezmialem Vakıf Üniversitesi, Tıp Fakültesi, Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

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Yıl: 2015 Cilt: 49 Sayı: 6 Sayfa Aralığı: 579 - 585 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries

Öz:

Objective: The aim of this study is to report our institution's experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction.Methods: Records of 17 patients who underwent PCL reconstruction with tibial inlay technique were retrospectively reviewed. Patients with ipsilateral femoral or tibial osteochondral avulsion fractures or ipsilateral concomitant tibia and femur shaft fractures were excluded. Out of these 17 patients, six cases underwent anterior cruciate ligament (ACL) + PCL reconstruction, nine cases underwent ACL+ PCL + posterolateral corner reconstruction, one case underwent ACL + PCL + MCL reconstruction and one case underwent ACL+ PCL + posterolateral corner + MCL reconstruction. Mean follow-up was 14.27±6.77 (range: 6-30) months.Results: In preoperative assessments, all patients had 3+ posterior laxity in posterior drawer test; at final follow-up, 6 patients had 0 laxity, 7 patients had 1+ laxity, and 4 patients had 2+ laxity (p<0.001). International Knee Documentation Committee (IKDC) objective evaluation showed severe disability in all patients preoperatively, whereas 5 knees were grade A, 8 knees were grade B, 3 knees were grade C, and 1 knee was grade D at final follow-up. Mean IKDC subjective score was 75.22±7.53 at final follow-up. Postoperatively, mean side-to-side difference in KT-1000 arthrometer measurement was 2.45±1.80 mm. At final follow-up, mean range of motion (ROM) was 0º on extension and 123.56±6.31º on flexion.Conclusion: Open tibial inlay approach is beneficial during PCL reconstruction. Further study is warranted to establish its effectiveness on functional outcomes and prevention of complications.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	ZEHİR S, ELMALI N, ŞAHİN E, ÇALBIYIK M, Karakaplan M, tasdemir z (2015). Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. , 579 - 585.
Chicago	ZEHİR Sinan,ELMALI Nurzat,ŞAHİN Ercan,ÇALBIYIK MURAT,Karakaplan Mustafa,tasdemir zeki Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. (2015): 579 - 585.
MLA	ZEHİR Sinan,ELMALI Nurzat,ŞAHİN Ercan,ÇALBIYIK MURAT,Karakaplan Mustafa,tasdemir zeki Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. , 2015, ss.579 - 585.
AMA	ZEHİR S,ELMALI N,ŞAHİN E,ÇALBIYIK M,Karakaplan M,tasdemir z Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. . 2015; 579 - 585.
Vancouver	ZEHİR S,ELMALI N,ŞAHİN E,ÇALBIYIK M,Karakaplan M,tasdemir z Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. . 2015; 579 - 585.
IEEE	ZEHİR S,ELMALI N,ŞAHİN E,ÇALBIYIK M,Karakaplan M,tasdemir z "Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries." , ss.579 - 585, 2015.
ISNAD	ZEHİR, Sinan vd. "Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries". (2015), 579-585.

APA	ZEHİR S, ELMALI N, ŞAHİN E, ÇALBIYIK M, Karakaplan M, tasdemir z (2015). Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. Acta Orthopaedica et Traumatologica Turcica, 49(6), 579 - 585.
Chicago	ZEHİR Sinan,ELMALI Nurzat,ŞAHİN Ercan,ÇALBIYIK MURAT,Karakaplan Mustafa,tasdemir zeki Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. Acta Orthopaedica et Traumatologica Turcica 49, no.6 (2015): 579 - 585.
MLA	ZEHİR Sinan,ELMALI Nurzat,ŞAHİN Ercan,ÇALBIYIK MURAT,Karakaplan Mustafa,tasdemir zeki Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. Acta Orthopaedica et Traumatologica Turcica, vol.49, no.6, 2015, ss.579 - 585.
AMA	ZEHİR S,ELMALI N,ŞAHİN E,ÇALBIYIK M,Karakaplan M,tasdemir z Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. Acta Orthopaedica et Traumatologica Turcica. 2015; 49(6): 579 - 585.
Vancouver	ZEHİR S,ELMALI N,ŞAHİN E,ÇALBIYIK M,Karakaplan M,tasdemir z Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries. Acta Orthopaedica et Traumatologica Turcica. 2015; 49(6): 579 - 585.
IEEE	ZEHİR S,ELMALI N,ŞAHİN E,ÇALBIYIK M,Karakaplan M,tasdemir z "Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries." Acta Orthopaedica et Traumatologica Turcica, 49, ss.579 - 585, 2015.
ISNAD	ZEHİR, Sinan vd. "Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries". Acta Orthopaedica et Traumatologica Turcica 49/6 (2015), 579-585.