Pre-pubescent posterior cruciate ligament (PCL) reconstruction using maternal allograft

Shah, Nishith; Mukhopadhyay, Reetadyuti; Vakta, Rohan; Bhatt, Jaymin

doi:10.1007/s00167-016-3991-7

Cited by 5 publications

(10 citation statements)

References 17 publications

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“…Only two studies [13, 24] investigated the outcomes of PCL reconstruction for a series of pediatric patients. Shah et al [24] reported a series of three patients, and Kocher et al [13] reported the results of eight patients with a mean age of 16.5 years. The mean Pedi‐IKDC and Lysholm scores in those studies were 81.3 and 80.1, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Posterior cruciate ligament reconstruction in skeletal immature children

Sørensen

Faunø

Christiansen

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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Section: Introductionmentioning

confidence: 99%

“…The literature on this topic is sparse and dominated by case reports. Only two studies [13, 24] investigated the outcomes of PCL reconstruction for a series of pediatric patients. Shah et al [24] reported a series of three patients, and Kocher et al [13] reported the results of eight patients with a mean age of 16.5 years.…”

Section: Introductionmentioning

confidence: 99%

Posterior cruciate ligament reconstruction in skeletal immature children

Sørensen

Faunø

Christiansen

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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“…This was not demonstrated in the included study using this as the primary technique 28 or in the previous documented case series. 23 There were several limitations to our study. First, this systematic review included entirely level 4 evidence with no prospective studies and small sample sizes.…”

Section: Discussionmentioning

confidence: 93%

“…30 The findings pertaining to angular deformity and LLDs have been supported by previous case reports and other reports included in this review. 1,10,11,23,28 The physis-sparing technique aims to avoid physeal injury by drilling tunnels away from the physis. However, reconstructing the PCL in skeletally immature patients requires placing the tibial tunnel distal to the physis.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of Pediatric Posterior Cruciate Ligament Reconstruction: A Systematic Review

Scarcella

Yalçın

Scarcella

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Little has been reported in the literature regarding surgical treatment of posterior cruciate ligament (PCL) injuries in pediatric patients. Purpose/Hypothesis: The purpose was to evaluate presentation, injury pattern, outcomes, and complications of surgically managed PCL injuries in pediatric patients. It was hypothesized that pediatric patients would have good patient-reported outcomes and no significant radiographic changes or complications. Study Design: Systematic review; Level of evidence, 4. Methods: A literature search was performed using PubMed, Medline, EMBASE, Scopus, and Cochrane databases between 1975 and December 16, 2019. Search terms included “posterior cruciate ligament,” “peel-off injury,” “avulsion,” “PCL,” “pediatric,” “skeletally immature,” and “adolescent.” Included were studies on pediatric patients with PCL injuries managed operatively. Exclusion criteria included case reports, studies not reporting clinical results, reviews, abstract or conference papers, or papers not in the English language. Quality assessment was performed on all included studies using the MINORS (Methodological Index for Non-Randomized Studies) criteria. Results: Four articles comprising 43 knees in 42 patients met the criteria and were included. Motor vehicle accidents were the most common mechanism of injury (39.5%; n = 17/43), followed by sports-related injuries (35%; n = 15/43). All studies commented on tear pattern, with the following distribution: 42% (n = 18/43) midsubstance tears, 37% (n = 16/43) tibial avulsions, and 21% (n = 9/43) femoral avulsions. Overall, good patient-reported outcomes (Knee injury and Osteoarthritis Outcome Score and Pediatric International Knee Documentation Committee, Tegner, and Lysholm scores) and return to activity, as well as satisfactory posterior stability (KT-1000 arthrometer, posterior drawer test, and kneeling radiographs) and range of motion, were reported. There was no significant leg-length discrepancy or angular deformity reported. Arthrofibrosis was reported in 7% of postoperative knees and was the most commonly reported complication. Osteoarthritis was reported in 21% (n = 9/43) of knees. The average MINORS score was 7 (range, 6-8) for noncomparative studies and 10 for comparative studies. Conclusion: Good patient-reported outcomes and return to activity can be obtained using repair or reconstruction. This evidence was limited by the quality of the included studies and overall small sample size; however, this review serves as a baseline for futures studies on PCL repair/reconstruction in pediatric patients.

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