Temporal change of joint position sense after posterior cruciate ligament reconstruction using multi-stranded hamstring tendons.
A total of 29 patients who had undergone posterior cruciate ligament (PCL) reconstruction using multi-stranded hamstring tendons were prospectively followed-up for joint stability and proprioceptive function at a minimum of 24 months after surgery. We measured temporal changes of the posterior laxity by stress radiography and the KT-2000 arthrometer, and we also measured joint position sense for an average of 42 months (range 24-78 months). In terms of results, improvement of joint stability was observed postoperatively and maintained over 2 years after PCL reconstruction, although posterior stability in the reconstructed knee was not identical to the contralateral normal knee. Although joint position sense worsened just after reconstruction, it gradually recovered from 18 months after surgery. However, proprioceptive function after PCL reconstruction did not recover to the same level as in the contralateral normal knee even over 24 months after surgery.
Adachi
Nobuo
N
Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan. nadachi@hiroshima-u.ac.jp
Ochi
Mitsuo
M
Uchio
Yuji
Y
Iwasa
Junji
J
Ishikawa
Masakazu
M
Shinomiya
Rikuo
R
D000293:Adolescent; D000328:Adult; D053587:Arthrometry, Articular; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D016119:Posterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery*; D011434:Proprioception / Q000502:physiology*; D011446:Prospective Studies; D011859:Radiography; D013710:Tendons / Q000637:transplantation*