Physiological Joint Stability and Clinical Outcomes of Braided Suture Techniques in Posterior Cruciate Ligament Reconstruction: Braided Suture Techniques in Posterior Cruciate Ligament Reconstruction

Mannal Saleem; Sampana Fatima; Sumera Imran; Rabia Rauf

doi:10.54393/pjhs.v6i12.3292

Authors

Mannal Saleem Department of Physiology, Nishtar Medical University, Multan, Pakistan
Sampana Fatima Department of Physiology, Shahida Islam Medical College, Lodhran, Pakistan
Sumera Imran Department of Anatomy, Shifa College of Medicine, Islamabad, Pakistan
Rabia Rauf Department of Anatomy, Niazi Medical and Dental College, Sargodha, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i12.3292

Keywords:

Posterior Cruciate Ligament, Posterior Knee Joint, Autologous Hamstring, Braided Suture Reconstruction

Abstract

PCL plays a critical role in maintaining the stability of the posterior knee joint, highlighting the importance of accurate diagnosis and effective treatment for such injuries. Objectives: To determine the stability of the knee joint in patients with posterior cruciate ligament rupture after the autologous hamstring and braided suture reconstruction. Methods: A Quasi-experimental study was conducted from June 2024 to June 2025 at Shahida Islam Medical Complex. This study included 120 patients with posterior cruciate ligament rupture and was divided into control (group A) and study group (Group B) (n=60 each). Group A underwent single-bundle autologous hamstring reconstruction, while group B underwent the same procedure with an added braided thread treatment. Evaluations were performed both before and after surgery, including assessments of complications, joint mobility, gait analysis, knee joint stability (tested with the KT2000), and knee function as measured by Rasmussen scoring. Results: Group B showed significantly better treatment rates compared to Group A (p<0.05). One year after the surgical operations, Group B exhibited notable improvements in stride speed, joint function, stride length, and Rasmussen scores (p<0.05). The cases also showed significantly reduced gait asymmetry and favorable outcomes from the KT2000 test p<0.05). Conclusions: The combination of autologous reconstruction of the hamstring tendon single bundle by using braided thread enhances clinical outcomes for individuals with PCL tears. This treatment significantly improves joint stability and knee function over the long term, demonstrating its effectiveness as a promising therapeutic option.

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