Abstract

ALONSO, Rodolfo H. Rotura del ligamento cruzado posterior: Fijación cortical tibial retrógrada. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2015, vol.80, n.4, pp.244-253. ISSN 1852-7434.

Introduction: Difficulties arising from reconstruction techniques of posterior cruciate ligament are widely known. The objective is to describe our retrograde tibial fixation technique, and analyze retrospectively if the final result has improved. Methods: One hundred and ten patients with diagnosis of types II and III posterior cruciate ligament rupture, who were operated on with different techniques. In 96 reconstructions X-ray posterior drawer was retrospectively evaluated. Fourteen patients who did not meet this criterion were excluded. Results: X-ray posterior drawer at discharge showed statistically significant differences (Pv <0.001) between our technique and other commonly used techniques, such as bone-patellar tendon-bone and quadrupled hamstrings fixed with screws in femur and tibia. Conclusions: Posterior cruciate ligament reconstruction with this technique has simplified the surgery, surgical time was reduced and therefore it is possible to perform other simultaneous ligament reconstructions. Final X-ray posterior drawer has objectively improved.

Keywords : Posterior cruciate ligament; Cortical tibial fixation.

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