Evidence map›Paper›PMID 33709007›Full record

ArticleOrthopaedic journal of sports medicine2021

Comparable Clinical and Radiologic Outcomes Between an Anatomic Tunnel and a Low Tibial Tunnel in Remnant-Preserving Posterior Cruciate Ligament Reconstruction.

Kyoung Ho Yoon, Jung-Suk Kim, Jae-Young Park, Soo Yeon Park, Raymond Yeak Dieu Kiat, Sang-Gyun Kim

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Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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5citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kyoung Ho YoonDepartment of Orthopaedic Surgery, Kyung Hee University Hospital, Seoul, Republic of Korea.
Jung-Suk KimDepartment of Orthopaedic Surgery, Kyung Hee University Hospital, Seoul, Republic of Korea.
Jae-Young ParkDepartment of Orthopaedic Surgery, Kyung Hee University Hospital, Seoul, Republic of Korea.
Soo Yeon ParkDepartment of Physical Education, Graduate School of Education, Yongin University, Yongin-si, Gyeongki-do, Republic of Korea.
Raymond Yeak Dieu KiatDepartment of Orthopaedics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Sang-Gyun KimDepartment of Orthopaedic Surgery, Korea University Ansan Hospital, Ansan-si, Gyeongki-do, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is currently no consensus on the optimal placement of the tibial tunnel for remnant-preserving posterior cruciate ligament (PCL) reconstruction. PURPOSE/HYPOTHESIS: The purpose of this study was to compare the clinical and radiologic outcomes of remnant-preserving PCL reconstruction using anatomic versus low tibial tunnels. We hypothesized that the outcomes of low tibial tunnel placement would be superior to those of anatomic tibial tunnel placement at the 2-year follow-up after remnant-preserving PCL reconstruction. STUDY

designCohort study; Level of evidence, 3.

methodsWe retrospectively reviewed the data for patients who underwent remnant-preserving PCL reconstruction between March 2011 and January 2018 with a minimum follow-up of 2 years (N = 63). On the basis of the tibial tunnel position on postoperative computed tomography, the patients were divided into those with anatomic placement (group A; n = 31) and those with low tunnel placement (group L; n = 32). Clinical scores (International Knee Documentation Committee subjective score, Lysholm score, and Tegner activity level), range of motion, complications, and stability test outcomes at follow-up were compared between the 2 groups. Graft signal on 1-year follow-up magnetic resonance imaging scans was compared between 22 patients in group A and 17 patients in group L.

resultsThere were no significant differences between groups regarding clinical scores or incidence of complications, no between-group differences in posterior drawer test results, and no side-to-side difference on Telos stress radiographs (5.2 ± 2.9 mm in group A vs 5.1 ± 2.8 mm in group L;

conclusionThe clinical and radiologic outcomes and complication rate were comparable between anatomic tunnel placement and low tibial tunnel placement at 2-year follow-up after remnant-preserving PCL reconstruction. The findings of this study suggest that both tibial tunnel positions are clinically feasible for remnant-preserving PCL reconstruction.

Indexed as

clinical outcomekneeposterior cruciate ligamentremnant preservationside-to-side differencetibial tunnel

Identifiers

PMID33709007
PMCPMC7907546

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