1. Successful reconstruction of the posterior cruciate ligament: assessment of posterior cruciate ligament footprints using an objective coordinate system.
- Author
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Vielgut I, Weiglein A, Biber SM, Dreu M, Leithner A, Hohenberger G, and Sadoghi P
- Subjects
- Adult, Aged, Aged, 80 and over, Cadaver, Embalming, Feasibility Studies, Female, Femur anatomy & histology, Femur diagnostic imaging, Femur surgery, Humans, Knee Injuries surgery, Knee Joint anatomy & histology, Knee Joint surgery, Male, Middle Aged, Patient Care Planning, Photography, Posterior Cruciate Ligament diagnostic imaging, Posterior Cruciate Ligament injuries, Posterior Cruciate Ligament surgery, Plastic Surgery Procedures methods, Reproducibility of Results, Tibia anatomy & histology, Tibia diagnostic imaging, Tibia surgery, Anthropometry methods, Posterior Cruciate Ligament anatomy & histology
- Abstract
Introduction: Anatomic cruciate ligament reconstruction is known to be correlated with better clinical results. The aim of the study was to provide a simple method to enable anatomic results in the setting of PCL reconstruction. We, therefore, assessed the tibial and femoral insertion site of the posterior cruciate ligament (PCL) by the use of an objective coordinate system in an anatomical study. We also sought to show reproducibility of these measurements using intra- and inter-observer coefficients., Materials and Methods: We studied 64 knees, previously preserved according to Thiel's technique. After proper preparation of the articular surfaces of both the tibiae and femora, photographs were taken according to a standardized protocol. PCL footprints were measured by the use of a coordinate system twice by two examiners. We evaluated these measurements by use of the Cohen's kappa inter- and intra-observer coefficient for two observers., Results: Tibial and femoral measurements of PCL footprints were generated with highly comparable inter- (k = 0.970) and intra-observer (k = 0.992) coefficients and may, therefore, be considered as highly reproducible., Conclusion: Our findings confirmed the reproducibility of defining PCL footprints using a coordinate system and may contribute to planning intraoperative graft-placement to ensure optimal conditions in the upcoming techniques for PCL reconstruction.
- Published
- 2020
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