title: Long-term outcomes following single-bundle transtibial arthroscopic posterior cruciate ligament reconstruction.
abstract: OBJECTIVE
  Posterior cruciate ligament (PCL) injury has a reported incidence of 3-20 %. PCL reconstruction is aimed at reducing onset of premature articular degeneration and improving function. Numerous operative techniques have been described with varying degrees of result consistency.
  
  
  METHODS
  We evaluated 15 patients treated for isolated primary posterior cruciate ligament injury with a mean follow-up of 4.1 years (range one to nine). Post-reconstruction clinical assessment included the Lysholm and Tegner knee scoring scale, international knee documentation committee (IKDC) ligament evaluation, and KT2000 arthrometer assessment.
  
  
  RESULTS
  On the Lysholm knee score 11 patients (73 %) had excellent results, three patients (20 %) had good results and one patient (7 %) had a poor result. On the Tegner activity score the majority of patients scored 7-8 with a return to high level sports. At the final follow-up, the post-reconstruction IKDC score was normal or nearly normal (A and B) in 14 (93 %) patients, and abnormal (C) in one (7 %) patient. According to KT-2000 arthrometer measurements at final follow-up review, 11 patients (73 %) were rated as normal (A, 0-2 mm), and four patients (27 %) as nearly normal (B, 3-5 mm). These results were independent of age, mechanism of injury, time elapsed to surgical reconstruction, and length of follow-up.
  
  
  CONCLUSIONS
  Despite being a technically demanding procedure, the outcomes reported in this study show that single bundle transtibial arthroscopic PCL repair using four strands hamstring autograft provides satisfactory and consistent functional outcomes.
authors: Department of Trauma and Orthopaedic Surgery, Russells Hall Hospital, Dudley Group of Hospitals NHS Trust, Dudley, DY1 2HQ, UK. tboutefnouchet@hotmail.com
authors: Tarek
authors: T
authors: Boutefnouchet
authors: Malek
authors: M
authors: Bentayeb
authors: Qutub
authors: Q
authors: Qadri
authors: Salman
authors: S
authors: Ali
mesh_terms: D000328:Adult; D001182:Arthroscopy; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D016119:Posterior Cruciate Ligament / Q000293:injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013710:Tendons / Q000637:transplantation*; D013977:Tibia / Q000601:surgery*; D055815:Young Adult