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RECONSTRUCTION OF POSTERIOR CRUCIATE LIGAMENT BY THE MODIFIED TIBIAL INLAY TECHNIQUE



Abstract

Purpose: To introduce modified tibial inlay technique for autogenous bone-patellar tendon-bone (BPTB) posterior cruciate ligament (PCL) reconstruction and evaluate the outcomes of PCL reconstruction by this method.

Methods: Fifty patients who underwent autogenous BPTB PCL reconstruction using modified tibial inlay technique were evaluated at average 30.9 months (range 12–52).

The outcomes were assessed by stress radiographs, maximal manual test with KT-2000 arthrometer, IKDC grading and OAK knee score.

Results: Average side to side difference in push view with Telos stress device decreased from 11.7mm to 3.2mm. Difference in maximal manual test with KT-2000 arthrometer also decreased from 11.5mm to 3.1mm. Final IKDC grading was A in six patients, B in thirty four, C in nine and D in one.

Average OAK score improved from 64.3 to 86.4

Conclusion: We consider that the modified tibial inlay technique is a method to reduce technical effort and contribute to satisfactory clinical results in autogenous BPTB PCL reconstruction.

The abstracts were prepared by Professor Jegan Krishnan. Correspondence should be addressed to him at the Flinders Medical Centre, Bedford Park 5047, Australia.