Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Knee
Abstract number: 26522
KNEE DISLOCATIONS. IS RECONSTRUCTING THE POSTERIOR CRUCIATE
CRUCIAL?
Håkan GAUFFIN, Peter ROCKBORN
Orthopaedic Department, Linköping (SWEDEN)
Four consecutive patients (27-39 years) with knee dislocation with the anterior
cruciate ligament (ACL), the posterior cruciate ligament (PCL) and the posterolateral
corner (PLC) completely ruptured were operated by the same surgeon 1999-2003
with the same technique. The ACL injuries were reconstructed with a patellar tendon
strip, the PLC injuries with primary repair, but the PCL injuries were not
reconstructed. The operations were performed 4-11 days after injury. The
postoperative rehabilitation was the same for all patients and there were tests by the
same physiotherapeut after 3, 6 and 12 months.After 3 years KOOS, EQ-5D and
work performance were recorded.After 6-10 years also Lysholm and Tegner score,
clinical examination, standing x-ray and posterior stress x-ray (Bartlett) were
included. Results: All patients were at fulltime work at both 3 and 6-10 years. One
patient was back at high level sport activity but the other three had lowered their
activity. One patient had Ahlbäck 1 at standing x-ray, but the other 3 had Ahlbäck 0.
There were no signs of fixed posterior subluxations, but all patients had increased
posterior laxity at stress x-ray.Conclusion: Patients with knee dislocations
(ACL+PCL+PLC) were PCL has not been reconstructed still perform well after 6-10
years.
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