Posterior tibial subluxation and short-term arthritis resulting from failed posterior cruciate ligament reconstruction (Journal article)

Mavrodontidis, A. N./ Papadonikolakis, A./ Moebius, U. G./ Gelalis, I./ Motsis, E./ Soucacos, P. N.


Posterior tibial subluxations because of combined or isolated posterior cruciate ligament (PCL) injuries require detailed evaluation. PCL reconstructions are difficult procedures because of the low rate of such injuries and the complex anatomy of the ligament. We report on 2 cases of failed PCL reconstruction because of malpositioned femoral tunnels. These 2 cases support the existing biomechanical evidence that the correct placement of the tunnels, especially in the femur, is a major factor in defining the outcome. It seems that the drilling of the tunnels, especially in the femur, during PCL reconstruction must be performed with accuracy and always be evaluated in cases of graft failure. In addition, failed PCL reconstructions are usually accompanied by a short-term excessive arthritis that results in poor functional outcome.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Achilles Tendon/transplantation,Adult,Aged,Arthroplasty, Replacement, Knee,*Arthroscopy,Braces,Combined Modality Therapy,Femur/surgery,Humans,Joint Instability/etiology/surgery,Knee Dislocation/*etiology/surgery,Male,Osteoarthritis/*etiology/surgery,Posterior Cruciate Ligament/injuries/*surgery,Postoperative Complications/*etiology/surgery,Rupture/surgery/therapy,Tibial Fractures/surgery,Transplantation, Homologous,Treatment Failure
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/19200
ISSN: 1526-3231
Link: http://www.ncbi.nlm.nih.gov/pubmed/12724667
http://ac.els-cdn.com/S0749806303002263/1-s2.0-S0749806303002263-main.pdf?_tid=612be1ba4f47c3ec10413eb8cd5d1708&acdnat=1333640770_70e32e472f05d87c2d737f0cdda7a489
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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