Journal of Peking University(Health Sciences) ›› 2016, Vol. 48 ›› Issue (2): 237-243. doi: 10.3969/j.issn.1671-167X.2016.02.011

• Article • Previous Articles     Next Articles

Arthroscopic all-inside reconstruction for posterior cruciate ligament and popliteus tendon compared with popliteofibular ligament reconstruction: clinical outcome of minimum 2-year follow-up

ZHANG Hui△, LIU Xin, HONG Lei, GENG Xiang-su, FENG Hua   

  1. (Sports Medicine Service, Beijing Jishuitan Hospital, Beijing 100035, China)
  • Online:2016-04-18 Published:2016-04-18
  • Contact: ZHANG Hui E-mail:zhui76@126.com
  • Supported by:

    Supported by the National Natural Science Foundation of China(81270029)

Abstract:

Objective:To describe the clinical results of a one-stage operation for posterior cruciate ligament reconstruction and a posterolateral corner reconstruction of popliteus tendon reconstruction, compared with an open popliteofibular ligament reconstruction. Methods: Our study included 33 patients who had undergone posterior cruciate ligament reconstruction with use of an achilles tendon-bone allograft and posterolateral corner reconstruction with arthroscopic anatomical reconstruction of popliteus tendon or open reconstruction of popliteofibular ligament. The patients were assessed for knee instability with use of the dial test at 30° and 90°, together with posterior stress radiography and KT-1000 measurement.  Results: The mean time of follow-up was more than 2 years. At the final follow-up evaluation, the tibial posterior translation as measured by stress radiography at 90° of knee flexion, the anterior-posterior translation as measured by KT-1000, and the external rotation of tibia as measured by dial test were reduced postoperatively (P<0.001) in both groups. Between the two groups, the preoperative tibial posterior translation as measured by stress radiography and the preoperative mean anterior-posterior translation as measured by KT-1000 in the popliteofibular ligament group were a little more than those in the popliteus tendon group (P=0.014, P<0.001). But the other comparisons were not significantly different (P>0.05). The final flexion losses were 3.33°±4.88° and 3.06°±3.38° for the two groups. Conclusion: Combined with posterior cruciate ligament reconstruction, anatomical posterolateral corner reconstruction of the popliteus tendon and open reconstruction of popliteofibular ligament showed similar outcomes. This study demonstrated that both posterolateral corner reconstruction techniques were a reliable alternative method in addressing posterolateral corner and posterior cruciate ligament insufficiency of the knee.

Key words: Joint instability, Knee joint, Reconstructive surgical procedures, Tendons, Ligaments, articula

CLC Number: 

  • R687.4
[1] Yicen YING,Yicong DU,Zhihua LI,Yiming ZHANG,Xinfei LI,Bing WANG,Peng ZHANG,Hongjian ZHU,Liqun ZHOU,Kunlin YANG,Xuesong LI. Robot-assisted laparoscopic ureteroplasty with buccal mucosa graft for complex ureteral stricture [J]. Journal of Peking University (Health Sciences), 2024, 56(4): 640-645.
[2] Jian-xun MA,You-chen XIA,Bi LI,Hong-mei ZHAO,Yu-tao LEI,Xi BU. Choice of immediate breast reconstructive methods after modified radical mastectomy [J]. Journal of Peking University (Health Sciences), 2023, 55(4): 612-618.
[3] Wei ZUO,Fei GAO,Chang-wei YUAN,Sheng-wei XIONG,Zhi-hua LI,Lei ZHANG,Kun-lin YANG,Xin-fei LI,Liang LIU,Lai WEI,Peng ZHANG,Bing WANG,Ya-ming GU,Hong-jian ZHU,Zheng ZHAO,Xue-song LI. Trends in upper urinary tract reconstruction surgery over a decade based on a multi-center database [J]. Journal of Peking University (Health Sciences), 2022, 54(4): 692-698.
[4] LAN Lin,HE Yang,AN Jin-gang,ZHANG Yi. Relationship between prognosis and different surgical treatments of zygomatic defects: A retrospective study [J]. Journal of Peking University (Health Sciences), 2022, 54(2): 356-362.
[5] Zhen-xing SHAO,Qing-fa SONG,Yu-qing ZHAO,Guo-qing CUI. An arthroscopic “inlay” Bristow procedure with suture button fixation: Surgical technique and radiology evaluation [J]. Journal of Peking University (Health Sciences), 2021, 53(5): 896-901.
[6] Hao WU,Li-ping PAN,Heng LIU,Hong-bin WANG,Tai-guo NING,Yong-ping CAO. Effect of posterior tibial slope on the short-term outcome in mobile-bearing unicompartmental knee arthroplasty [J]. Journal of Peking University (Health Sciences), 2021, 53(5): 877-882.
[7] HOU Zong-chen,AO Ying-fang,HU Yue-lin,JIAO Chen,GUO Qin-wei,HUANG Hong-shi,REN Shuang,ZHANG Si,XIE Xing,CHEN Lin-xin,ZHAO Feng,PI Yan-bin,LI Nan,JIANG Dong. Characteristics and related factors of plantar pressure in the chronic ankle instability individuals [J]. Journal of Peking University (Health Sciences), 2021, 53(2): 279-285.
[8] Zhong-di LIU,Ting-min XU,Yu DANG,Dian-ying ZHANG,Zhong-guo FU. A mid-term clinical follow-up study on repair of the meniscus tears by a modified arthroscopic outside-in puncture suture technique [J]. Journal of Peking University (Health Sciences), 2020, 52(5): 870-874.
[9] Si-da CHENG,Xin-fei LI,Sheng-wei XIONG,Shu-bo FAN,Jie WANG,Wei-jie ZHU,Zi-ao LI,Guang-pu DING,Ting YU,Wan-qiang LI,Yong-ming SUN,Kun-lin YANG,Lei ZHANG,Han HAO,Xue-song LI,Li-qun ZHOU. Robot-assisted laparoscopic upper urinary tract reconstruction surgery: A review of 108 cases by a single surgeon [J]. Journal of Peking University (Health Sciences), 2020, 52(4): 771-779.
[10] Dong JIANG,Yue-lin HU,Chen JIAO,Qin-wei GUO,Xing XIE,Lin-xin CHEN,Feng ZHAO,Yan-bin PI. Mid-to-long term outcomes and influence factors of postoperative concurrent chronic ankle instability and posterior ankle impingement [J]. Journal of Peking University(Health Sciences), 2019, 51(3): 505-509.
[11] RONG Yan-bo, TIAN Guang-lei, CHEN Shan-lin. Biomechanical analysis of the deep radioulnar ligaments stabilizing the distal radioulnar joint [J]. Journal of Peking University(Health Sciences), 2017, 49(3): 518-521.
[12] JIANG Jie, CUI Li-gang, WANG Jin-rui, JIANG Ling, LI Zhi-qiang, ZHAO Bo. Sonographic fingdings of pectoralis major and its tears [J]. Journal of Peking University(Health Sciences), 2016, 48(1): 166-169.
[13] HUANG Hong-shi, JIANG Yan-fang, YANG Jie, YU Yuan-yuan, WANG Yi, XU Yan, AO Ying-fang. Effect of anterior cruciate ligament rupture on hamstring∶quadriceps ratio during isokinetic knee extension and flexion at 30 degrees of flexion [J]. Journal of Peking University(Health Sciences), 2015, 47(5): 787-790.
[14] LIAO Xiao-Xing, XING Nian-Zeng, QIAO Peng, KANG Ning, ZHANG Jun-Hui, NIU Yi-Nong. "Sandwich” urethra reconstruction improves the early continence following laparoscopic radical prostatectomy [J]. Journal of Peking University(Health Sciences), 2015, 47(4): 601-604.
[15] YU Sen, WANG Yang, MAO Chi, GUO Chuan-Bin, YU Guang-Yan, PENG Xin. Classification and reconstruction of 1 107 cases of maxillary defects [J]. Journal of Peking University(Health Sciences), 2015, 47(3): 509-513.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!