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Case Reports
. 2020 Jan 15:25:100279.
doi: 10.1016/j.tcr.2020.100279. eCollection 2020 Feb.

Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury - A technical report

Jonas Scheck  1 , André Chakraborty  1 , Gerald Zimmermann  1
Affiliations
Case Reports

Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury - A technical report

Jonas Scheck et al. Trauma Case Rep. .

Erratum in

Abstract

The optimum therapy of a torn PCL in multiligamental-injured knees is controversially discussed in literature. As conservative treatment and PCL reconstruction alone mostly lead to long-term immobilization, we performed a single stage PCL bracing with ACL reconstruction using ACL TightRopes® and Fiber-/TigerTapes® to accelerate back-to-sport after multiligamental knee injury with bicrucial tears. The brace consisted of two FiberTapes which were looped in an ACL TightRope and transosseously fixed with a Dog Bone-Button®. The ACL reconstruction was performed by a fourfolded semitendinosus graft in TightRope® technique. We chose an active rehabilitation-protocol with immediately allowed knee flexion to 90° in an ACL brace. This led to excellent results with resumption of sports after 6 months and good subjective and objective knee stability measured with a KT-1000. Our results hint that our method of bracing a torn PCL in multiligamental knee injuries may lead to faster rehabilitation with comparable knee stability.

Keywords: ALB, anterolateral bundle; LCL, lateral collateral ligament; MCL, medial collateral ligament; Multiligamental knee injury; PCL bracing; PCL, posterior cruciate ligament; PLC, posterolateral complex; PMB, posteromedial bundle; Posterior crucial ligament; STSD, side-to-side differences; a.p., anterior posterior.

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Figures

Fig. 1
Fig. 1
a: Preoperative MRI scan PD FS cube sagittal with torn ACL (formula image) and PCL (formula image). b: Preoperative MRI Scan T1 FSE sagittal with torn ACL (formula image) and PCL (formula image).
Fig. 2
Fig. 2
Intraoperative fluoroscopy in lateral position with ACL (formula image) and PCL (formula image) button location.
See this image and copyright information in PMC

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