Evaluation of Knee Arthroscopy with Concomitant Reconstruction of Anterior and Posterior Cruciate Ligament

Abstract

Objective: The Aim of the study is to evaluate the outcome of knee arthroscopy with concomitant reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL).
Materials and Methodology: From November 2013 to December 2016, the Institute of Trauma and Orthopedics, Viet Duc University Hospital has conducted a study in 33 patients who had a knee injury.
Results: Ages ranged from 20 to 45 (mean 34.9). There was no difference between injuries of the left knee and right knee. Chief complaints included swelling, pain and limited movement. The sensitivity of MRI in diagnosis was 100%, 91.9%, and 78% for the ACL, PCL, and meniscus, respectively. Nineteen of 33 patients had other types of injury. Two materials preferred in surgery were autologous graft (Hamstrings) (72.2%) and homologous graft, postsurgical mean Lyscholm score: 88.1 ± 10.1, 12.5% of patients has g18 of 32 patients returned for follow-up on time and had very good outcome without any complications such as loose knee, joint stiffness, significant pain or atrophy of the quadriceps femoris muscle, good outcome, 6.2% of patients has bad outcome and required reoperation.
Conclusions and Recommendations: Concomitant injury of ACL and PCL is a serious injury and significantly affects patients’ quality of life. Successful surgery can markedly improve patients’ function and quality of life, and enable them to resume daily activities.