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Posterior cruciate ligament repair with suture tape augmentation: Minimum 2-year patient-reported outcome measures
ESSKA Academy. Hopper G. Nov 8, 2019; 284446; epESMA-41 Topic: Arthroscopic Surgery
Mr. Graeme P Hopper
Mr. Graeme P Hopper
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Posterior cruciate ligament repair with suture tape augmentation: Minimum 2-year patient-reported outcome measures

ePoster - epESMA-41

Topic: Sports Trauma

Hopper G.P.1, Jenkins J.1, Wilson W.T.1, Mackay G.M.2
1Queen Elizabaeth University Hospital, Glasgow, United Kingdom, 2University of Stirling, Stirling, United Kingdom

Aim: This study describes a posterior cruciate ligament (PCL) repair technique with suture tape augmentation with 2-year follow-up results.
Methods: 17 consecutive patients with a PCL rupture undergoing repair with suture tape augmentation were prospectively followed up for a minimum of 2 years. Indications for this procedure were grade III PCL tears, symptomatic chronic tears and PCL tears as part of a multi-ligament knee injury. KOOS, WOMAC, Visual Analog Pain Scale (VAS), VR-12 and the Marx Activity scale were collected. Patients who underwent further surgery on the knee were identified.
Results: The mean KOOS at 2 years was 87.0, 75.5, 93.0, 69.6 and 54.2 for pain, symptoms, ADL, sport/recreation and QOL respectively. These improved significantly from 59.6, 51.3, 64.5, 34.7 and 32.7 preoperatively (p< 0.001). The mean WOMAC scores at 2 years were 91.0, 78.3 and 93.0 for pain, stiffness and function respectively. These improved significantly from 67.6, 52.2 and 64.5 preoperatively (p< 0.001). The VAS score improved from 3.1 preoperatively to 0.8 at 2 years and the VR-12 physical score improved significantly from 34.2 preoperatively to 50.9 at 2 years (p< 0.001). However, the Marx activity scale decreased from 9.3 preoperatively compared to 6.3 at 2 years. 1 patient underwent further surgery.
Conclusion: This study demonstrates encouraging 2-year follow-up results of this technique of PCL repair with suture tape augmentation. There were significant improvements in the KOOS, WOMAC, VAS and VR-12 physical scores in comparison to preoperative scores. The highest KOOS improvement is seen in sports and recreation. Therefore, PCL repair with suture tape augmentationcould be an alternative operative treatment to traditional reconstruction techniques in appropriate cases.
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