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223831

Effect of internal brace technique on postoperative laxity in PCL reconstruction Short term study

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Last updated: 28 Dec 2024

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Abstract

The posterior cruciate ligament (PCL) is critical to the stability of the knee and is sometimes referred to as the
"pivot." Multiligamentous knee injuries are the most prevalent sort of pcl injuries, however they may also be PCL
injuries on their own. Pcl injuries may result from a variety of causes, including a sports injury, a car accident, or a
hyperextension injury. Pcl injury in non-athletes is treated with conservative treatment for a few weeks to allow for
healing of the PCL, but in cases of multi-ligamentous knee injury or complete isolated pcl injury grade 3, surgical repair
or reconstruction is required to restore knee mechanics and allow healing of the pcl in a proper length and position.
Injuries to the anterior cruciate ligament (PCL) can be treated surgically in a variety of ways, including a single or
double bundle reconstruction, anatomical transtibial or all-inside technique, tibial inlay reconstruction, or just repair of
the PCL and augmentation with an internal brace, depending on the healing power of the pcl. Post-operative laxity after
posterior cruciate ligament restoration with or without internal brace augmentation was compared in this research.
Thirty patients who had PCL injuries and underwent PCL repair at Benha University Hospital or the Health Insurance
Hospitals were included in a prospective research to evaluate postoperative laxity. Fifteen patients had PCL repair with
an internal brace and fifteen underwent PCL reconstruction without an internal brace. Results: In the first group with an
internal brace, outstanding in 7 instances, good in 7 cases, and average in one case. Without internal bracing,
outstanding in two instances 13.3%, good in five cases (33.3%), and fair in eight cases (53.3%) are all that can be said.
Structural integrity was improved by adding an independent ST to the PCL repair, regardless of the method utilised,
resulting in decreased dynamic and total elongation and increased ultimate strength. During high loads, the ST seems to
be a "safety belt" that becomes more prominent, demonstrating increased plastic deformation.

DOI

10.21608/bjas.2022.223831

Keywords

internal brace technique, postoperative laxity, PCL reconstruction

Authors

First Name

H.E

Last Name

Elbegawy

MiddleName

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Affiliation

Orthopedics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

A.M.

Last Name

Halawa

MiddleName

-

Affiliation

Orthopedics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

-

Orcid

-

First Name

E.M

Last Name

Bayomy

MiddleName

-

Affiliation

Orthopedics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

A.T.

Last Name

Abdel-Razek

MiddleName

-

Affiliation

Orthopedics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Volume

7

Article Issue

2

Related Issue

31999

Issue Date

2022-02-01

Receive Date

2022-03-09

Publish Date

2022-02-01

Page Start

69

Page End

77

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_223831.html

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https://bjas.journals.ekb.eg/service?article_code=223831

Order

8

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Effect of internal brace technique on postoperative laxity in PCL reconstruction Short term study

Details

Type

Article

Created At

23 Jan 2023