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Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR) is becoming increasingly used alternative to the single-bungle PCLR. While more technically challenging, it seems to better improve patients' outcomes. Therefore, outcomes of DB-PCLR will be assessed and reported.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with PCL tear treated with DB-PCLR | Patients with PCL tear treated with DB-PCLR |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DB-PCLR | Procedure | DB-PCLR with reconstruction of both PCL bundles: anterolateral and posteromedial bundle will be performed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Knee posterior translatory stability - posterior sag test | Posterior sag test will be performed and outcome will be presented as present/ absent | At the 12 month of the follow-up. |
| Knee posterior translatory stability - posterior drawer test | Posterior drawer test aided with Rollimeter will be performed and outcomes will be presented in milimeters | At the 12 month of the follow-up. |
| Knee posterior translatory stability - posterior Lachman test | Posterior Lachman test aided with Rollimeter will be performed and outcomes will be presented in milimeters | At the 12 month of the follow-up. |
| Knee posterior translatory stability - stress X-ray | Stress X-ray assessing posterior translatory stability of the knee will be performed and outcomes will be presented in milimeters | At the 12 month of the follow-up. |
| Knee internal rotation stability | Maximal knee internal rotation angle will be assessed with different angles of knee flexion and measured by the means of goniometer and outcomes will be presented in degrees | At the 12 month of the follow-up. |
| Knee posterior translatory stability - posterior sag test | Posterior sag test will be performed and outcome will be presented as present/ absent | At the 24 month of the follow-up. |
| Knee posterior translatory stability - posterior drawer test |
| Measure | Description | Time Frame |
|---|---|---|
| The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) | Min of 0 max of 87 points, higher scores mean a better outcome | At the 12 month of the follow-up. |
| The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients after PCL tear with knee instability undergoing DB-PCLR
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Konrad Malinowski, MD PhD | Contact | +48 509812212 | malwin8@wp.pl |
| Name | Affiliation | Role |
|---|---|---|
| Konrad Malinowski, MD PhD | Artromedical Orthopaedic Clinic, Bełchatów, Poland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Artromedical Orthopaedic Clinic | Recruiting | Bełchatów | Łódź Voivodeship | 97-400 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28866340 | Background | Chahla J, Moatshe G, Cinque ME, Dornan GJ, Mitchell JJ, Ridley TJ, LaPrade RF. Single-Bundle and Double-Bundle Posterior Cruciate Ligament Reconstructions: A Systematic Review and Meta-analysis of 441 Patients at a Minimum 2 Years' Follow-up. Arthroscopy. 2017 Nov;33(11):2066-2080. doi: 10.1016/j.arthro.2017.06.049. Epub 2017 Aug 31. | |
| 36209443 |
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Posterior drawer test aided with Rollimeter will be performed and outcomes will be presented in milimeters |
| At the 24 month of the follow-up. |
| Knee posterior translatory stability - posterior Lachman test | Posterior Lachman test aided with Rollimeter will be performed and outcomes will be presented in milimeters | At the 24 month of the follow-up. |
| Knee posterior translatory stability - stress X-ray | Stress X-ray assessing posterior translatory stability of the knee will be performed and outcomes will be presented in milimeters | At the 24 month of the follow-up. |
| Knee internal rotation stability | Maximal knee internal rotation angle will be assessed with different angles of knee flexion and measured by the means of goniometer and outcomes will be presented in degrees | At the 24 month of the follow-up. |
Min of 0 max of 87 points, higher scores mean a better outcome |
| At the 24 month of the follow-up. |
| The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) | Min of 0 max of 100 points, higher scores mean a better outcome | At the 12 month of the follow-up. |
| The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) | Min of 0 max of 100 points, higher scores mean a better outcome | At the 24 month of the follow-up. |
| Retear rate | Rate of patients with retear of the reconstructed ligament | At the 12 month of the follow-up. |
| Retear rate | Rate of patients with retear of the reconstructed ligament | At the 24 month of the follow-up. |
| ROM | Knee range of motion assessed by the means of goniometer. | At the 12 month of the follow-up. |
| ROM | Knee range of motion assessed by the means of goniometer. | At the 24 month of the follow-up. |
| Knapik DM, Gopinatth V, Jackson GR, Chahla J, Smith MV, Matava MJ, Brophy RH. Global variation in isolated posterior cruciate ligament reconstruction. J Exp Orthop. 2022 Oct 9;9(1):104. doi: 10.1186/s40634-022-00541-4. |
| 29953296 | Background | LaPrade RF, Cinque ME, Dornan GJ, DePhillipo NN, Geeslin AG, Moatshe G, Chahla J. Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years' Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions. Am J Sports Med. 2018 Jul;46(8):1809-1818. doi: 10.1177/0363546517750855. |
| 30657698 | Background | Bernhardson AS, DePhillipo NN, Aman ZS, Kennedy MI, Dornan GJ, LaPrade RF. Decreased Posterior Tibial Slope Does Not Affect Postoperative Posterior Knee Laxity After Double-Bundle Posterior Cruciate Ligament Reconstruction. Am J Sports Med. 2019 Feb;47(2):318-323. doi: 10.1177/0363546518819786. Epub 2019 Jan 18. |