Non-hardware posterior cruciate ligament reconstruction using knot/press-fit technique with periosteum-enveloped hamstrings tendon autograft

Tai Yuan Chuang, Wei Pin Ho, Chih Hwa Chen, Ming Hsin Shieh, Jiann Jong Liau, Chang Hung Huang

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Background: Several posterior cruciate ligament reconstruction procedures have been proposed to manage ruptures. Purpose: This study was intended to present the clinical results of non-hardware reconstruction of posterior cruciate ligament using a knot/press-fit technique with periosteum-enveloped autogenous hamstring tendons. Study Design: Case series; Level of evidence, 4. Methods: This arthroscopically assisted technique was used in 33 patients with posterior cruciate ligament ruptures. In this non-hardware technique, semitendinosus and gracilis tendons were prepared as 2 loops with knots. Each loop was enveloped in periosteum. After passing a bottleneck femoral tunnel, the grafts were fixed with a press-fit method (knotted grafts lodging in the bottleneck of the femoral tunnel). Simultaneously, the intra-articular opening of the tibial tunnel was filled with the periosteum-enveloped portion of the graft. A tie with Mersilene tape over a bone bridge for each tendon loop was used for tibial fixation. Results: The average follow-up was 35 months (range, 24-60 months). Clinical assessments included Tegner score, Lysholm knee score, International Knee Documentation Committee scores, thigh muscle assessment, and radiographic evaluation. The stress radiography results for posterior displacement changed from 13.7 ± 2.1 mm preoperatively to 4.8 ± 1.1 mm postoperatively. Average preinjury Tegner score was 5.9 (range, 3-9), decreasing to 2.9 (range, 2-5) preoperatively and increasing to 5.2 (range, 2-9) postoperatively. The Lysholm score increased from 58.5 ± 5.2 to 94.2 ± 4.1 (P

Original languageEnglish
Pages (from-to)1081-1089
Number of pages9
JournalAmerican Journal of Sports Medicine
Issue number5
Publication statusPublished - May 2011


  • hamstring tendon graft
  • non-hardware
  • periosteum
  • posterior cruciate ligament reconstruction
  • press-fit technique

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • General Medicine


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