{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:31:50Z","timestamp":1793068310331,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2014,10,6]],"date-time":"2014-10-06T00:00:00Z","timestamp":1412553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The most common technique for posterior cruciate ligament (PCL) reconstruction is transtibial or tibial inlay. However, few studies have reported long-term outcome comparisons between the 2 techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Tibial inlay PCL reconstruction with patellar tendon autograft will exhibit better clinical and radiographic outcomes than transtibial PCL reconstruction with hamstring autograft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 66 patients (66 knees) treated with PCL reconstruction for chronic injuries constituted the study cohort. Patients were divided into 2 groups: transtibial with hamstring (36 patients) and tibial inlay with patellar tendon (30 patients). The mean time from injury to reconstruction was 12.2 months (range, 2-60 months), and the mean follow-up was 148 months (range, 98-196 months). Outcomes were measured by use of Lysholm knee scores, Tegner activity scores, return to preinjury sports activity, posterior drawer test, laxity test with a Telos device, and development of osteoarthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The preoperative mean Lysholm knee score was 59.9 (range, 37-70) in the transtibial group and 54.5 (range, 22-76) in the tibial inlay group, improving postoperatively to 89.9 (range, 74-100) and 92.1 (range, 80-100), respectively. The mean Tegner activity scores increased from 2.5 (range, 2-5) to 5.9 (range, 4-7) in the transtibial group and 2.3 (range, 2-4) to 6.0 (range, 3-8) in the tibial inlay group. Twenty-one patients (58.3%) in the transtibial group and 19 patients (63.3%) in the tibial inlay group were able to return to preinjury sports activity. In the posterior drawer test, 6 patients in the transtibial group and 4 patients in the tibial inlay group showed grade II laxity. The mean side-to-side difference was 10.1 mm (range, 7-12 mm) in the transtibial group and 10.4 mm (range, 9-13 mm) in the tibial inlay group, improving postoperatively to 4.1 mm (range, 0-8 mm) and 4.2 mm (range, 1-8 mm), respectively. There was significant improvement between preoperative and final follow-up values. However, there were no significant differences between the 2 groups in final follow-up outcomes. Final follow-up radiographs showed that 6 patients (16.7%) in the transtibial group and 3 patients (10.0%) in the tibial inlay group were rated grade C according to International Knee Documentation Committee guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clinical and radiographic outcomes between the 2 PCL reconstruction techniques were comparable. Osteoarthritis was observed in patients, with a significant proportion presenting loss of joint space. Examined factors, excluding meniscectomy, were not correlated with the development of osteoarthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546514550982","type":"journal-article","created":{"date-parts":[[2014,10,6]],"date-time":"2014-10-06T22:54:47Z","timestamp":1412636087000},"page":"2964-2971","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":75,"title":["Transtibial Versus Tibial Inlay Techniques for Posterior Cruciate Ligament Reconstruction"],"prefix":"10.1177","volume":"42","author":[{"given":"Eun-Kyoo","family":"Song","sequence":"first","affiliation":[{"name":"Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeong-Won","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mokpo Hankook Hospital, Mokpo, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeong-Seub","family":"Ahn","sequence":"additional","affiliation":[{"name":"Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong-Keun","family":"Seon","sequence":"additional","affiliation":[{"name":"Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,10,6]]},"reference":[{"key":"bibr1-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505279915"},{"key":"bibr2-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504273046"},{"key":"bibr3-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290020401"},{"key":"bibr4-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400310"},{"key":"bibr5-0363546514550982","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/00003086-199005000-00031","volume":"254","author":"Burks RT","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"bibr6-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.03.020"},{"key":"bibr7-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0113-y"},{"key":"bibr8-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261511"},{"key":"bibr9-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0095399703258794"},{"key":"bibr10-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509333479"},{"key":"bibr11-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B10.20517"},{"key":"bibr12-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510374452"},{"key":"bibr13-0363546514550982","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.2011.23.3.135"},{"key":"bibr14-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511430375"},{"key":"bibr15-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504265005"},{"key":"bibr16-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000306"},{"key":"bibr17-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.08.057"},{"key":"bibr18-0363546514550982","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200204000-00002"},{"key":"bibr19-0363546514550982","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200907000-00004"},{"key":"bibr20-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300030201"},{"key":"bibr21-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507299742"},{"key":"bibr22-0363546514550982","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200206000-00007"},{"key":"bibr23-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506296042"},{"key":"bibr24-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.08.038"},{"key":"bibr25-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513486771"},{"key":"bibr26-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.11.013"},{"key":"bibr27-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2003.50037"},{"key":"bibr28-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198509000-00007"},{"key":"bibr29-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511416316"},{"key":"bibr30-0363546514550982","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.12.011"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546514550982","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546514550982","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546514550982","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:48:34Z","timestamp":1777369714000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546514550982"}},"subtitle":["Long-term Follow-up Study"],"short-title":[],"issued":{"date-parts":[[2014,10,6]]},"references-count":30,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1177\/0363546514550982"],"URL":"https:\/\/doi.org\/10.1177\/0363546514550982","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,6]]}}}