INTRODUCTION: Femoral tunnel placement has a great influence on the clinical outcome after PCL reconstruction. MATERIALS AND METHODS: Using a robotic/universal force moment sensor (UFS) testing system, we examined joint kinematics and in situ forces of human knees following soft-tissue single bundle PCL reconstruction fixed at the center of the femoral attachment. RESULTS: Posterior tibial translation significantly increased at all flexion angles after transsection of the posterior cruciate ligament (p<0.05). PCL reconstruction resulted in significantly less posterior tibial translation at all flexion angles when compared to the PCL deficient knee (p<0.05). The differences in the in situ force between the intact ligament and the reconstructed graft were statistical significant (p<0.05). CONCLUSION: Single bundle PCL reconstruction with a soft-tissue graft fixed at the center of the femoral attachment is able to reduce the posterior tibial translation significantly. However, it cannot restore kinematics of the intact knee and in situ forces of the intact PCL.
INTRODUCTION: Femoral tunnel placement has a great influence on the clinical outcome after PCL reconstruction. MATERIALS AND METHODS: Using a robotic/universal force moment sensor (UFS) testing system, we examined joint kinematics and in situ forces of human knees following soft-tissue single bundle PCL reconstruction fixed at the center of the femoral attachment. RESULTS: Posterior tibial translation significantly increased at all flexion angles after transsection of the posterior cruciate ligament (p<0.05). PCL reconstruction resulted in significantly less posterior tibial translation at all flexion angles when compared to the PCL deficient knee (p<0.05). The differences in the in situ force between the intact ligament and the reconstructed graft were statistical significant (p<0.05). CONCLUSION: Single bundle PCL reconstruction with a soft-tissue graft fixed at the center of the femoral attachment is able to reduce the posterior tibial translation significantly. However, it cannot restore kinematics of the intact knee and in situ forces of the intact PCL.
Authors: Pisit Lertwanich; Cesar A Q Martins; Yuki Kato; Sheila J M Ingham; Scott Kramer; Monica Linde-Rosen; Patrick Smolinski; Freddie H Fu Journal: Knee Surg Sports Traumatol Arthrosc Date: 2010-04-21 Impact factor: 4.342
Authors: Marcin Kowalczuk; Marie-Claude Leblanc; Benjamin B Rothrauff; Richard E Debski; Volker Musahl; Nicole Simunovic; Olufemi R Ayeni Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-04-03 Impact factor: 4.342