The outcome of simultaneous arthroscopic anterior cruciate ligament and posterior cruciate ligament reconstruction using hamstring tendon, and peroneus longus autograft

Abstracts

Introductions: Simultaneous anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) tears are severe injuries to the knee. Therefore, early diagnosis and simultaneous arthroscopic reconstruction of the ligaments are crucial in returning knee function and reducing the risk of disabilities. The purpose of this study is to evaluate simultaneous cruciate ligaments arthroscopic all-inside reconstruction using semitendinosus, gracilis, and peroneus longus autograft.

Materials and methods: We prospectively described 45 patients with simultaneous cruciate ligament tears who underwent one-stage arthroscopic reconstruction using semitendinosus, gracilis, and peroneus longus autograft for one period from January 2019 to June 2022.

Results: Mean age was 36.4; follow–up at 3,6,12,15 months post-op showed good results in knee function and a significant increase of pre and post- op Lysholm score. The mean diameter and length of the ACL graft were 7.52mm and 60mm, and for PCL were 7.68mm and 70mm. Lysholm’s score consistently improved over time. The pre-op mean score was 41 ± 7.2, and the min was 24, while the last follow-up mean score was 85.5 ± 8.4, and the max was 98. The difference is significant (p<0.001).

Conclusion: Simultaneous cruciate ligaments arthroscopic all-inside reconstruction using semitendinosus, gracilis, and peroneus longus autograft is a safe and effective treatment for both cruciate ligament injuries.

Keywords: Arthroscopic, Hamstring, Simultaneous ACL/PCL Reconstruction.

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