<p><strong>Introducción</strong></p><p><strong></strong>Presentamos las dificultades propias de cada una de las técnicas empleadas en la reconstrucción del Ligamento Cruzado Posterior (LCP), el objetivo es analizar retrospectivamente si hemos mejorado el resultado final con la técnica actual de fijación cortical tibial retrógrada.</p><p><strong>Material y Método</strong></p><p><strong></strong>Sobre 106 pacientes operados con distintas técnicas de fijación artroscópica en rupturas del LCP, tipo II y III se incluyen 96 reconstrucciones en las cuales evaluamos retrospectivamente el cajón posterior (CP) radiográfico al alta. Se excluyeron 8 pacientes que no están de alta o se perdieron durante el tratamiento y dos pacientes operados con injerto de tendón cuadricipital, que por el escaso número no tienen relevancia estadística y cuyo CP al alta fue similar a nuestras primeras cirugías.</p><p><strong>Resultados</strong></p><p><strong></strong>El CP radiográfico al alta tuvo diferencias estadísticamente significativas entre la técnica actual y las otras realizadas anteriormente.</p><p><strong>Conclusión</strong></p><p><strong></strong>La reconstrucción del LCP con esta técnica, objetivamente ha mejorado el CP final radiográfico.</p>
The difficulties of the techniques of reconstruction of de Posterior Cruciate Ligament (PCL) are widely known. Objectives: To present our technique of retrograde tibial fixing, and analyze retrospectively if we have improved the final result. Material and Method: In a group of 110 surgical patients for PCL operated with different techniques we did a retrospective study in 96 with X-ray posterior drawer when they returned to work. 14 patients were excluded because they did not meet those conditions. Results: The X-ray posterior drawer test had differences statistically significant between our technique and the previous ones, which were done with bone-patellar tendon-bone and quadrupled hamstrings fixed with screws. Conclusion: Our technique has simplified the surgery; its duration was shortened and therefore allows us to do other simultaneous ligament reconstructions. It has improved the posterior drawer test objectively.
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