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Data from 52 patients who had been followed up completely were analyzed. All patients suffered from a grade 3 or higher grade of posterior drawer test and posterior sag sign with MRI image confirmation. Twelve knees had combined posterior and posterolateral instability, which were simultaneously reconstructed. Clinical assessments included Lysholm knee score, International Knee Documentation Committee (IKDC) scores, KT\u20101000\u00a0instrumented test, thigh muscle assessment, and radiographic evaluation. The mean Lysholm score was 54 (40\u201365) and 91 (65\u2013100) points (<jats:italic>P<\/jats:italic>&lt;0.01) before and after surgery. Thirty (58%) patients could return to moderate or strenuous activity. The evaluation of AP translation has been performed with KT\u20101000. The average posterior displacement measured with KT\u20101000 was 11.69\u00b12.01\u00a0mm preoperatively and 3.45\u00b12.04\u00a0mm postoperatively. Forty\u2010two (81%) patients demonstrated ligament laxity of less than 5\u00a0mm. Forty\u2010two (81%) patients were rated as normal or nearly normal based on IKDC scores. Forty\u2010six (88%) patients achieved a minimum of 80% recovery of extensor strength and 44 (85%) patients achieved a minimum of 80% recovery of flexor strength. Statistically significant differences existed in thigh girth, extensor strength, and flexor strength before and after reconstruction. Arthroscopic reconstruction for PCL with four\u2010strand hamstring tendon graft produced satisfactory results. The semitendinosus and gracilis tendon graft is adequate in graft size, technically easier to perform and more reproducible, and had a satisfactory result.<\/jats:p>","DOI":"10.1007\/s00167-006-0113-y","type":"journal-article","created":{"date-parts":[[2006,6,20]],"date-time":"2006-06-20T14:26:30Z","timestamp":1150813590000},"page":"1045-1054","source":"Crossref","is-referenced-by-count":24,"title":["Arthroscopic posterior cruciate ligament reconstruction with hamstring tendon autograft: results with a minimum 4\u2010year follow\u2010up"],"prefix":"10.1002","volume":"14","author":[{"given":"Chih\u2010Hwa","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Chang Gung Memorial Hospital\u2014Keelung Chang Gung University College of Medicine 222, Mai\u2010Chin Rd. 204 Keelung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tai\u2010Yuan","family":"Chuang","sequence":"additional","affiliation":[{"name":"Department of 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