1. Comparable clinical and radiological outcomes between anatomical and high femoral tunnels in posterior cruciate ligament reconstruction
- Author
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Jung-Suk Kim, Sang-Gyun Kim, Kyoung Ho Yoon, Raymond Yeak Dieu Kiat, Jae-Young Park, and Soo Yeon Park
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Sports medicine ,Radiography ,Posterior Cruciate Ligament Reconstruction ,Osteoarthritis ,Arthroscopy ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Orthopedics and Sports Medicine ,Femur ,Treatment Failure ,Range of Motion, Articular ,Physical Examination ,Aged ,Retrospective Studies ,030222 orthopedics ,business.industry ,030229 sport sciences ,Lysholm Knee Score ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Posterior cruciate ligament ,Radiological weapon ,Orthopedic surgery ,Female ,Posterior Cruciate Ligament ,Surgery ,Tomography, X-Ray Computed ,business ,Nuclear medicine ,Range of motion ,Follow-Up Studies - Abstract
To compare clinical and radiological outcomes and failure rates between anatomical and high femoral tunnels in remnant-preserving single-bundle posterior cruciate ligament (PCL) reconstruction. 63 patients who underwent remnant-preserving single-bundle PCL reconstruction between 2011 and 2018 with a minimum 2-year follow-up were retrospectively reviewed. Patients were divided into two groups according to the femoral tunnel position: group A (33 patients with anatomical femoral tunnel) and group H (30 patients with high femoral tunnels). The femoral tunnel was positioned at the center (group A) or upper margin (group H) of the remnant anterolateral bundle. The position of the femoral tunnel was evaluated using the grid method on three-dimensional computed tomography. Clinical and radiological outcomes and failure rates were compared between the groups at the 2-year follow-up. The position of the femoral tunnel was significantly high in group H than in group A (87.4% ± 4.2% versus 76.1% ± 3.7%, p
- Published
- 2020