PMID- 38142869
OWN - NLM
STAT- Publisher
LR  - 20240117
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
DP  - 2023 Dec 22
TI  - Suture Tape Augmentation Improves Posterior Stability After Isolated Posterior 
      Cruciate Ligament Reconstruction Using Hamstring Tendon Autograft With 
      Single-Bundle Transtibial Technique.
LID - S0749-8063(23)01011-3 [pii]
LID - 10.1016/j.arthro.2023.12.007 [doi]
AB  - PURPOSE: To assess whether posterior cruciate ligament reconstruction (PCLR) with 
      suture tape augmentation can yield more stability after isolated PCLR. METHODS: A 
      prospective database was retrospectively reviewed to identify patients who 
      underwent primary isolated PCLR (control group) or isolated PCLR with suture tape 
      augmentation (study group) from January 2016 to September 2020. We analyzed 
      subjective International Knee Documentation Committee (IKDC), Lysholm, and Tegner 
      knee scores; posterior drawer test findings; posterior stress radiographs; and 
      return-to-sports activity rates. The minimal clinically important difference 
      (MCID) was used to evaluate clinical relevance (subjective IKDC, Lysholm, and 
      Tegner scores). RESULTS: A total of 59 patients were included in this analysis 
      (28 in control group and 31 in study group). The average length of follow-up was 
      similar between the study and control groups (48.6 months vs 47.9 months, P = 
      .800). Knee function was significantly improved in the study group in terms of 
      subjective IKDC scores (85.1 +/- 6.4 in study group vs 79.8 +/- 6.4 in control group, 
      P = .002), Lysholm scores (86.3 +/- 7.4 vs 80.8 +/- 7.4, P = .005), and Tegner scores 
      (7.0 +/- 1.4 vs 5.6 +/- 1.7, P = .006). However, the differences between the control 
      and study groups were less than the MCID for the subjective IKDC score and 
      Lysholm score. In the control and study groups, 21.4% of patients (6 of 28) and 
      48.4% of patients (15 of 31), respectively, returned to their preinjury sports 
      activity levels (P = .031). At last follow-up, the mean side-to-side difference 
      in posterior laxity was significantly improved in the study group compared with 
      the control group (1.52 +/- 0.70 mm in study group vs 3.17 +/- 2.01 mm in control 
      group, P < .01). CONCLUSIONS: Primary isolated PCLR with suture tape augmentation 
      provides better posterior stability than PCLR without suture tape augmentation at 
      a minimum of 2 years' follow-up. No differences between the groups were observed 
      in the percentage of patients who met or exceeded the MCID for the subjective 
      IKDC and Lysholm scores. LEVEL OF EVIDENCE: Level III, retrospective comparative 
      study.
CI  - Copyright (c) 2023 The Author(s). Published by Elsevier Inc. All rights reserved.
FAU - Zhang, Hangzhou
AU  - Zhang H
AD  - Department of Orthopedics, Joint Surgery and Sports Medicine, First Affiliated 
      Hospital of China Medical University, Shenyang Sports Medicine Clinical Medical 
      Research Center, Shenyang, China. Electronic address: zhanghz1000@163.com.
FAU - Wang, Jian
AU  - Wang J
AD  - Department of Joint Surgery and Sports Medicine, First Affiliated Hospital of 
      Jinzhou Medical University, Jinzhou, China.
FAU - Gao, Yuzhong
AU  - Gao Y
AD  - Department of Joint Surgery and Sports Medicine, First Affiliated Hospital of 
      Jinzhou Medical University, Jinzhou, China.
FAU - Zheng, Peng
AU  - Zheng P
AD  - Department of Orthopedics, Joint Surgery and Sports Medicine, Fushun Central 
      Hospital, Fushun, China.
FAU - Gong, Lianhai
AU  - Gong L
AD  - Department of Orthopedics, Joint Surgery and Sports Medicine, Hospital Benxi Iron 
      and Steel General Hospital, Benxi, china.
LA  - eng
PT  - Journal Article
DEP - 20231222
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
COIS- Disclosures All authors declare that they have no known competing financial 
      interests or personal relationships that could have appeared to influence the 
      work reported in this paper. Full ICMJE author disclosure forms are available for 
      this letter online, as supplementary material.
EDAT- 2023/12/25 00:42
MHDA- 2023/12/25 00:42
CRDT- 2023/12/24 19:28
PHST- 2023/07/26 00:00 [received]
PHST- 2023/11/16 00:00 [revised]
PHST- 2023/12/03 00:00 [accepted]
PHST- 2023/12/25 00:42 [pubmed]
PHST- 2023/12/25 00:42 [medline]
PHST- 2023/12/24 19:28 [entrez]
AID - S0749-8063(23)01011-3 [pii]
AID - 10.1016/j.arthro.2023.12.007 [doi]
PST - aheadofprint
SO  - Arthroscopy. 2023 Dec 22:S0749-8063(23)01011-3. doi: 
      10.1016/j.arthro.2023.12.007.