Abstract
The purpose of this study was to evaluate the outcome of posterior cruciate ligament (PCL) reconstruction with a double tunnel technique, using prospective pre & post-operative functional scoring and clinical evaluation.
We reviewed those patients who underwent PCL reconstruction between October 2001 and October 2006. 24 patients were identified, 23 male and 1 female. Mean age 30.1 years (range 17–43). Mean follow up 56 months (range 29–86). The commonest mode of injury was football. 3 patients had isolated PCL injuries, 21 had concomitant knee ligament injuries which were treated surgically at the same operation. Patients were prospectively scored pre-operatively and at 3, 6, 12 & 24 months post-op using the Lysholm, IKDC 2000 & KOOS scoring systems. These scores were compared to an injury matched control group who underwent comparable knee ligament reconstructions, but who had intact PCL’s.
The knee scores showed a significant improvement in all PCL reconstructed patients post-op (p< 0.05). However, significant differences were found between the PCL reconstructed and PCL intact groups. Both groups had high return to employment and return to sports rates. We describe our method of double tunnel reconstruction.
Conclusions: PCL injury is usually associated with concomitant soft tissue knee injuries. PCL deficiency contributes significantly to the morbidity of the multiple ligament injured knee. Reconstruction with the double tunnel technique described gives excellent functional improvement and high rates of return to employment and sports.
Correspondence should be addressed to: BASK c/o BOA, at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London, WC2A 3PE, England.
