ARTHROSCOPICALLY ASSISTED COMBINED ANTERIOR AND POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

This article presents the minimum 2-year results (range, 24 to 48 mont hs) of 20 arthroscopically assisted combined anterior cruciate ligamen t/posterior cruciate ligament (ACL/PCL) reconstructions, evaluated pre operatively and postoperatively using the Tegner, Lysholm, and Hospita l for Special Surgery knee ligament rating scales, and the KT 1000 kne e ligament arthrometer (Medmetric Corp, San Diego, CA). There were 16 men or boys, 4 women or girls; 9 right, 11 left; 10 acute, and 10 chro nic knee injuries. Ligament injuries included 1 ACL/PCL tear, 2 ACL/PC L/medial collateral ligament (MCL)/posterior lateral corner tears, 7 A CL/PCL/MCL tears, and 10 ACL/PCL/posterior lateral corner tears. ACLs were reconstructed using autograft or allograft patellar tendons. PCLs were reconstructed using allograft Achilles tendon, or autograft pate llar tendon. MCL tears were successfully treated with bracing. Posteri or lateral instability was successfully treated with long head of the biceps femoris tendon tenodesis. Tegner, Lysholm, and Hospital for Spe cial Surgery knee ligament rating scales significantly improved preope ratively to postoperatively (P = .0001). Corrected anterior KT 1000 me asurements improved from preoperative to postoperative status (P = .00 78).