Functional outcome of arthroscopic posterior cruciate ligament reconstruction using quadrupled semitendinosus Gracilis graft: A prospective study

Abstract

Background: Posterior cruciate ligament (PCL) is strongest of all ligaments around knee & its reconstruction remains a technically demanding surgery. Outcome of the surgery is multifactorial including graft material Selection, method of fixation etc. Our prospective study evaluates results of PCL reconstruction using quadripuled semitendinoses gracilis autograft, with 3 years follow up. Patients and Methods: 40 patients were included in the study which extended for 36 months. This was a prospective study and all cases which had PCL rupture during this period were considered for this study. Patients with isolated chronic PCL rupture as well as multi ligament injuries including PCL rupture were included in the study. Results: Physiotherapy was started on the second postoperative day and 40% had excellent outcome with Lysholm knee score whereas 60% had good outcome. Majority of the patients (95%)were men which implies that this kind of injuries common with RTA’s and worksite injuries. Conclusion: Reconstruction of PCL using quadripuled semitendinoses gracilis autograft improves the clinical outcome drastically.