Combined reconstruction of the posterior cruciate ligament and medial collateral ligament using a single femoral tunnel

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author BONADIO, Marcelo Batista FMUSP-HC
HELITO, Camilo Partezani FMUSP-HC
FONI, Noel Oizerovici
ALBUQUERQUE, Roberto Freire da Mota e FMUSP-HC
PECORA, Jose Ricardo FMUSP-HC
CAMANHO, Gilberto Luis FMUSP-HC
DEMANGE, Marco Kawamura FMUSP-HC
ANGELINI, Fabio Janson FMUSP-HC
dc.date.issued 2017
dc.identifier.citation KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, v.25, n.10, p.3024-3030, 2017
dc.identifier.issn 0942-2056
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/21969
dc.description.abstract Lesions of the medial collateral ligament (MCL) are the most common knee ligament injuries, and lesions associated with the anterior cruciate ligament or the posterior cruciate ligament (PCL) in knee dislocations should be reconstructed to prevent failure of the central pivot reconstruction. The purpose of this study was to evaluate the outcomes of combined PCL/MCL reconstruction using a single femoral tunnel with a minimum 2-year follow-up. A retrospective study of thirteen patients with combined PCL/MCL injuries was conducted. The patients underwent PCL and MCL reconstruction using an Achilles tendon allograft with a single tunnel in the medial femoral condyle, thereby avoiding tunnel conversion. All patients achieved a range of motion of at least 100A degrees. The mean loss of extension and flexion values compared to the contralateral side was 1A degrees A +/- 2A degrees and 9A degrees A +/- 10A degrees, respectively. Our results included 26 reconstructions with three (11.5 %) failures, two in the PCL (15.3 %) and one in the MCL (7.6 %), in three different patients. In the final evaluation, the mean IKDC subjective score was 71.63 +/- 16.23, the mean Lysholm score was 80.08 +/- 13.87, and the median Tegner score was 6 (range = 2-7). The PCL/MCL reconstruction technique using a single femoral tunnel and an Achilles tendon allograft is safe, avoids the convergence of tunnels in the medial femoral condyle, has excellent results, and is reproducible. IV.
dc.language.iso eng
dc.publisher SPRINGER
dc.relation.ispartof Knee Surgery Sports Traumatology Arthroscopy
dc.rights restrictedAccess
dc.subject Knee; Dislocation; Medial collateral ligament; Technique; Achilles tendon
dc.subject.other 2-year follow-up; tibial-inlay; knee injuries; transtibial techniques; posterolateral corner; achilles allograft; external fixator; double-bundle; anterior; repair
dc.title Combined reconstruction of the posterior cruciate ligament and medial collateral ligament using a single femoral tunnel
dc.type article
dc.rights.holder Copyright SPRINGER
dc.description.group LIM/41
dc.identifier.doi 10.1007/s00167-016-4071-8
dc.identifier.pmid 27000395
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author BONADIO, Marcelo Batista:FM:
hcfmusp.author HELITO, Camilo Partezani:HC:IOT
hcfmusp.author ALBUQUERQUE, Roberto Freire da Mota e:HC:IOT
hcfmusp.author PECORA, Jose Ricardo:HC:IOT
hcfmusp.author CAMANHO, Gilberto Luis:FM:MOT
hcfmusp.author DEMANGE, Marco Kawamura:FM:MOT
hcfmusp.author ANGELINI, Fabio Janson:HC:IOT
hcfmusp.author.external · FONI, Noel Oizerovici:Univ Sao Paulo, Inst Orthoped & Traumatol, Knee Surg Div, Rua Ovidio Pires Campos 333, BR-05403010 Sao Paulo, SP, Brazil
hcfmusp.origem.id 2-s2.0-84961770560
hcfmusp.origem.id WOS:000411176000007
hcfmusp.publisher.city NEW YORK
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
dc.identifier.eissn 1433-7347
hcfmusp.citation.scopus 6
hcfmusp.affiliation.country Brasil
hcfmusp.scopus.lastupdate 2021-07-14


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