DOI: https://doi.org/10.15674/0030-59872017373-84

Reconstruction of the posterior cruciate ligament of the knee joint according to the technology «Onlay»

Maksim Golovakha, Inna Didenko, Sergiy Krasnoperov, Rostyslav Titarchuk, Кarl Benedetto, Weniamin Orljanski

Abstract


Posterior crossed ligament injury is one of the most serious damages to the capsular-ligament complex of the knee joint, which is difficult to detect.

Objective: to improve the treatment of patients with damage to the posterior crossed ligament of the knee by means of arthroscopic reconstruction using «Onlay» technology.

Methods: 56 patients (44 men, 12 women) with posterior crossed ligament injury were operated. In 32 (57.14 %) cases, isolated posterior crossed ligament raptures were detected, in 24 (42.86 %) — combined injuries. Patients are operated using RetroDrill® reverse drilling technology using arthroscopic iimplantation of quadriceps tendon.

Results: out of 56 patients in the period up to 6 years after the operation, it was possible to completely examine 21 individuals. Indicators on the VAS scale did not exceed 5 points in any case. In the assessment of mobility in the knee joint, 85 % of patients were assigned to a normal group, 15 % to almost normal. The joint function is recognized as normal in 5 % operated, almost normal — 15 %, moderate — 10 %, bad — 10 %. On the Kellgren-Lawrence scale, patients were divided into groups: 66.7 % — stage I with the onset of arthrosis, 28.57 % — stage II with slightly pronounced arthrosis, 4.76 % — stage III with moderate arthrosis.

Conclusions: arthroscopic «everything inside» with RetroDrill® can be recommended as an alternative to posterior crossed ligament reconstruction. Averaged time, subjective and objective results were optimistic. At the heart of this are subjective pleasure, objective stability, a return to sports, avoiding arthrosis changes. Due to insignificant number of observations in the absence of a control group, the interpretation of results is limited.

Keywords


knee joint; posterior cruciate ligament; arthroscopy; restoration; functional results; complications

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