CORR Insights®: Does Sequence of Graft Tensioning Affect Outcomes in Combined Anterior and Posterior Cruciate Ligament Reconstructions?

Levy, Bruce A.

doi:10.1007/s11999-014-4011-1

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“…Posterior stress radiographs, Lysholm score, International Knee Documentation Committee (IKDC) scores favoured fixing the ACL first 56. The optimal tensioning sequence can be best evaluated with well-designed biomechanical studies 57. The authors preferred tensioning sequence which fixes the anterolateral bundle of the PCL at 90° to restore the normal tibial step-off, the posteromedial bundle of the PCL in extension, the FCL at 20°−30° of knee flexion and a slight valgus force, followed by the rest of the PLC structures at 60° of flexion and neutral rotation, the ACL near full extension and finally the posteromedial corner.…”

Section: Introductionmentioning

confidence: 99%