Tensioning of Remnant Posterior Cruciate Ligament and Reconstruction of Anterolateral Bundle in Chronic Posterior Cruciate Ligament Injury

Active non-operative treatment of acute isolated posterior cruciate ligament injury with cylinder cast immobilization

“…When severe instability or persistent pain remained and accompanied injury was observed during conservative treatment, we used tensioning of the remnant PCL and reconstructing the anterolateral bundle using hamstring 4 bundles [6,7]. With our comparison between two groups, there was a significant difference in results with respect to stability, but there was no statistical significance in clinical results.…”

“…The difference in the displacement between before immobilization and last followup was significant (P \ 0.05). The mean side-to-side difference, as measured by the KT1000 TM , was 6.20 (3)(4)(5)(6)(7)(8) mm at the pre-immobilization and 2.97 (0.5-6) at the last follow-up. At the last evaluation, 10 of the 17 patients had a less than 3 mm increase in displacement, and 6 had between 3 and 5, and 1 had [5 displacement.…”

The necessity of clinical application of tibial reduction for detection of underestimated posterolateral rotatory instability in combined posterior cruciate ligament and posterolateral corner deficient knee

“…In the present study, the tensioning of the remnant PCL and augmentation of the anterolateral bundle described by Jung et al [12] was used for contributing to posterior knee stability and proprioception. We recommend this technique for chronic cases at least 6 months after the initial PCL injury, because chronic cases have a good density and 50-60 % thickness in the remnant PCL bundles as shown by MRI.…”

“…To date, most studies have suggested that isolated PCL injuries can be treated conservatively, resulting in favourable short-term clinical outcomes [1,15] Over the past few years, some evidences have emerged suggesting that the preservation of remnant of the ruptured cruciate ligament will improve the postoperative knee laxity and the recovery of proprioception [2,12]. In the present study, the tensioning of the remnant PCL and augmentation of the anterolateral bundle described by Jung et al [12] was used for contributing to posterior knee stability and proprioception.…”

Correction of bony genu recurvatum combined with ligamentous instability of the knee: three case reports

“…After the osteotomy, the radiographs showed 3°of posterior tibial slope and 0.8 of IS ratio but, more than grade II posterior instability and PLRI remained. We performed tensioning of remnant PCL and augmentation of anterolateral bundle using modified inlay method and posterolateral corner sling (PLCS) with fibula head tunnel [3,[6][7][8] (Fig. 2).…”