Assessment of Outcomes of Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR)
Led by Konrad Malinowski MD · Updated on 2023-01-27
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52 weeks
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What this Trial Is About
Researchers are evaluating the outcomes of Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR) for patients with Posterior Cruciate Ligament (PCL) tears. This observational study aims to assess whether DB-PCLR, which reconstructs both the anterolateral and posteromedial bundles of the PCL, can improve patient results compared to the single-bundle procedure. The study is led by Konrad Malinowski MD and focuses on patients with grade III symptomatic posterior instability.
Participants will undergo the DB-PCLR procedure, which involves reconstructing both PCL bundles. The study monitors patients treated with this method to evaluate knee stability and function over time. There are no comparison groups, as this is an observational assessment of patients receiving DB-PCLR.
During the study, participants will be followed up at 12 and 24 months after surgery. Researchers will assess knee posterior translatory stability using clinical tests such as the posterior sag, drawer, Lachman tests, and stress X-rays, as well as knee internal rotation stability. Functional outcomes will be measured using questionnaires like the International Knee Documentation Committee (IKDC) and the Knee injury and Osteoarthritis Outcome Score (KOOS). Additionally, retear rates and range of motion (ROM) will be evaluated. The study will provide detailed follow-up on knee function and stability for up to two years post-treatment.
CONDITIONS
Brief Title
Assessment of Outcomes of Double-bundle Posterior Cruciate Ligament Reconstruction (DB-PCLR)
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
PCL tear with III grade symptomatic posterior instability confirmed clinically and radiologically
Full knee range of motion
You will not qualify if you...
Active knee inflammation
Non-adherence to the study protocol
Fixed posterior drawer
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Up to 1 week
Participants undergo double-bundle posterior cruciate ligament reconstruction (DB-PCLR) surgery and receive immediate post-operative care.
1 visit for surgery and immediate post-operative assessments
Post-operative Follow-up
Duration - 24 months
Participants are monitored for knee stability and functional recovery after surgery.
Single-Bundle and Double-Bundle Posterior Cruciate Ligament Reconstructions: A Systematic Review and Meta-analysis of 441 Patients at a Minimum 2 Years' Follow-up.
Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years' Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions.
Robert F LaPrade, Mark E Cinque, Grant J Dornan...