[Arthroscopically-assisted combined anterior and posterior cruciate ligament reconstruction].
BACKGROUND
The best treatment of a combined rupture of the anterior and posterior cruciate ligaments is still unclear.


METHODS
Nine patients with unilateral traumatic ruptures of both the anterior and posterior cruciate ligaments were treated by arthroscopically-assisted simultaneous reconstruction. The operation was done using hamstring tendon and patellar tendon autografts, an average of 235 days (range 52-567) after the initial trauma. Patients were followed up for an average of 37 months (range 24-58) after surgery. For this retrospective cohort study, we used the Lysholm knee score, the Tegner activity score, and the SF-36 questionnaire as a means of assessment.


RESULTS
The evaluation at follow-up showed an average score of 74 points on the Lysholm scale. Using the IKDC evaluation, four patients could be placed in group B and five patients in group C. A significant increase, from 1.9 points before trauma to 5.0 points at follow-up, was observed on the Tegner activity score. Comparing the operated with the healthy knees, with respect to stability and isokinetic muscle strength, we noted significantly better scores in the healthy knees. Using the SF-36 questionnaire, patients showed a reduced level of physical well-being.


CONCLUSIONS
The treated patients were able to carry out their activities of everyday life. However, none of them returned to their preinjury activity level.
Schofer
M D
MD
Klinik für Orthopädie und Rheumatologie, Universitätsklinikum Giessen und Marburg GmbH, Standort Marburg, Baldingerstrasse, 35033 Marburg, Deutschland. schofer@med.uni-marburg.de
Peterlein
C D
CD
Fuchs-Winkelmann
S
S
Kortmann
H R
HR
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000473:pathology / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000601:surgery; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008592:Menisci, Tibial / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D016119:Posterior Cruciate Ligament / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D012421:Rupture; D013709:Tendon Transfer / Q000379:methods; D000070600:Tibial Meniscus Injuries; D055815:Young Adult