All-Inside Posterior Cruciate Ligament Reconstruction: GraftLink Technique

Prince, Matthew R.; Stuart, Michael J.; King, Alexander H.; Sousa, Paul L.; Levy, Bruce A.

doi:10.1016/j.eats.2015.06.009

Cited by 31 publications

(19 citation statements)

References 15 publications

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“…Previous biomechanical study that compared the tensile strength of peroneus longus tendon, hamstring tendon, patellar tendon, and quadriceps tendon showed that the tensile strength of peroneus longus was comparable to hamstring tendon, and was significantly stronger than patellar tendon and quadriceps tendon [ 21 ]. Some clinical study also showed good clinical result in the use of peroneus longus tendon in ACL reconstruction [ [6] , [7] , [8] ] while other author already used PLT in PCL reconstruction [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Setyawan¹,

Soekarno²,

Asikin³

et al. 2019

Annals of Medicine and Surgery

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Background Several study that evaluate the usage of peroneus longus tendon (PLT) autograft in Anterior Cruciate Ligament reconstruction shows good result. Regardless the potential, there was no study about the use of PLT autograft in Posterior Cruciate Ligament (PCL) reconstruction. The purpose of this study is to evaluate the functional outcome and donor site morbidity after single bundle PCL reconstruction using PLT autograft. Methods Patient who met inclusion criteria, enrolled to this study and underwent single bundle PCL reconstruction using PL tendon autograft. Clinical outcomes were assessed with International Knee Documentation Committee (IKDC), Modified Cincinnati scoring systems, Lysholm score, and Serial hop test (single hop test and triple hop test) 2-year after surgery. Donor site morbidity was assessed with Foot and Ankle Disability Index (FADI) and American Orthopaedic Foot and Ankle (AOFAS) scoring system. Results Fifteen patients fulfilled the inclusion criteria (11 males and 4 females). PLT graft diameters were 7.5–10 mm (mean: 8.30 ± 0.65 mm). Significant increase of functional score ( p < 0.05) were found two years after surgery. Mean score of IKDC was 47.58 ± 11.75 pre-operative; 78.17 ± 4.52 post-operative, Modified Cincinnati was 48.86 ± 12.22 pre-operative; 79.00 ± 4.82 post-operative, Lysholm score was 49.26 ± 11.54 pre-operative; 80.20 ± 5.04 post-operative. FADI and AOFAS at donor site ankle was 93.00 ± 3.04 and 93.26 ± 4.20, respectively. Serial hop test showed good result. Conclusion PCL reconstruction using peroneus longus tendon autograft shows good functional outcome of the knee based on IKDC, Modified Cincinnati, Lysholm score, with preservation of ankle function based on AOFAS and FADI score at 2-years follow-up.

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Section: Discussionmentioning

confidence: 99%

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Setyawan¹,

Soekarno²,

Asikin³

et al. 2019

Annals of Medicine and Surgery

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“…All-inside PCLR techniques were described earlier, [16][17][18][19] but reported single-bundle procedures [16][17][18] or the use of allografts. 18 Furthermore, the 2 papers reporting a DB all-inside PCLR fail to address the independent tensioning of the grafts in their corresponding flexion angles, 19 or tensioning is performed in the femoral socket, 16 which might lead to bottoming out of the graft and residual laxity as we previously described. In summary, we describe an anatomic all-inside DB PCLR technique using 2 separate, individually tensioned autologous grafts, which is a simple to use, less invasive, and safe technique for PCLR (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Double-Bundle, All-Inside Posterior Cruciate Ligament Reconstruction: A Technique Using 2 Separate Autologous Grafts

Hoogeslag

Oudelaar

Veld

et al. 2016

Arthroscopy Techniques

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In a double-bundle posterior cruciate ligament reconstruction, several surgical techniques are available. Compared with other techniques, the advantages of the all-inside technique and cortical suspension devices with variable loop length are that shorter grafts can be used, tendons can be quadrupled, and a double-bundle posterior cruciate ligament reconstruction can be performed with autologous grafts. Furthermore, the all-inside technique provides independent outside-in socket reaming and is soft tissue, cortex, and bone sparing because no full diameter tunnels but sockets are created with a small diameter guide pin, which can transform into a retrograde drill. Sockets could however lead to bottoming out of the grafts at the femoral side and subsequent residual laxity. This can be avoided by using 2 separate grafts that are fixed in 2 femoral sockets before they are independently fixed and tensioned in 1 tibial socket in their corresponding flexion angle. In this technical note, we present a double-bundle, all-inside posterior cruciate ligament reconstruction using 2 separate autologous grafts.

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“…These advantages are in addition to those of using the FlipCutter, GraftLink construct, tibial and femoral sockets, and TightRope as already described by Adler. Moreover, Prince et al 10 recently described the use of a specialized tibial tunnel guide developed by the senior authors of their publication (Stuart and Levy) that allows for its reliable placement in the tibial PCL footprint.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic All-Inside Posterior Cruciate Ligament Reconstruction: Overcoming the “Killer Turn”

Vasdev

Rajgopal

Gupta

et al. 2016

Arthroscopy Techniques

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One of the most challenging arthroscopic surgical procedures is posterior cruciate ligament (PCL) reconstruction. PCL injuries account for 20% of all knee ligamenterelated injuries. These may be isolated or occur as part of poly-ligament injuries. With the possibility of PCL reconstruction with the all-inside technique, there has been a surge in interest in treating PCL injuries. With the PCL being one of the strongest ligaments in the body and a primary restraint to posterior translation of the tibia, the need for PCL reconstruction is being more and more recognized. Surgeons often find it difficult to negotiate the so-called killer turn while attempting arthroscopic PCL reconstruction. We describe the use of the GraftLink graft construct through the posteromedial portal in 7 patients (6 male and 1 female patient) with isolated PCL injuries, which we believe not only allows us to perform the all-inside PCL reconstruction but also does away with the difficulty of the killer turn encountered while performing the arthroscopic PCL reconstruction.

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All-Inside Posterior Cruciate Ligament Reconstruction: GraftLink Technique

Cited by 31 publications

References 15 publications

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Posterior Cruciate Ligament reconstruction with peroneus longus tendon graft: 2-Years follow-up

Double-Bundle, All-Inside Posterior Cruciate Ligament Reconstruction: A Technique Using 2 Separate Autologous Grafts

Arthroscopic All-Inside Posterior Cruciate Ligament Reconstruction: Overcoming the “Killer Turn”

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