POSTER ABSTRACTS - ISAKOS

y IKDC guideline. Bone tunnels enlargement of
more than 1 mm was identified in 5 femoral
tunnels (5%) and 4 tibial tunnels (7%). One
patients suffered from re-rupture and received
revision operation.
Conclusions: Periosteum has the potential to
enhance tendon-bone healing. It can be expected
to seal the intra-articular tunnel opening in an
early period to avoid synovial fluid influx and
undesirable tendon motion in the tunnel between
the tendon and the bone. Femoral and tibial
tunnel enlargement could be effectively reduced.
Periosteum can be easily harvested at the
proximal tibia from a routine incision for
hamstring tendons harvesting. Satisfactory result
can be achieved with the periosteum-enveloping
hamstring tendon graft in ACL reconstruction.
E-poster #613
Conservative Treatment of Acute Isolated
Posterior Cruciate Ligament Injury
Young Bok Jung, Seoul, KOREA, Presenter
Suk Kee Tae, Seoul, KOREA
Yong Seuk Lee, Seoul, KOREA
Kee Hyun Lee, Seoul, KOREA
YONG SAN HOSPITAL CHUNG-ANG UNIVERSITY,
SEOUL, KOREA
INTRODUCTION: PCL(posterior cruciate ligament)
injuries have the potential for intrinsic healing
and it is known that functional or clinical status
could not be correlated with degree of clinical
laxity. The goal of our study was to investigate the
outcome of conservative treatment of the acute
isolated PCL injury using cylinder cast
immobilization with tibial supporter.
MATERIALS AND METHODS: The subjects were
10 acute isolate PCL injuries, with more than 2
years of follow- up from January 1998 to July 2001.
There were 9 male and 1 female patients, with an
average age of 23(12-47) years (the epiphyseal
plate was not completely closed in 3 patients).
Originally there were 14 patients, but some
patients were excluded by combined injuries and
operations at other hospital. Diagnosis of the
isolated PCL injury was done by physical
examination and stress push radiography using
Telos® device, KT 2000 maximal manual test and
MRI. We applied a long leg splint or cylinder cast
immobilization with tibial supporter with full
extension of the knee for 6 weeks and then
another six weeks of PCL brace with tibial
supporter and posterior elastic rubber band to
prevent posterior sagging of the proximal tibia.
During treatment, we recommended quadriceps
setting exercise and straight leg raising exercise.
Contact sports were allowed 6 months after
trauma.
RESULTS: There were 7.5mm (4-10mm) side to
side difference at initial stress film, and 3.4 mm(1-
8 mm) at last follow-up. 4 patients had A, 6 had B
in IKDC objective score and 88.2(63-94) points in
IKDC subjective score, 95.4(86-100) points in OAK
score at last follow-up.
CONCLUSIONS: Acute isolated PCL injury treated
with cylinder cast immobilization and PCL brace
with tibial supporter to prevent posterior sagging,
improved stability but some residual laxity
remained. However, most of the patients were
satisfied and the scores were excellent. The
conservative treatment with cylinder cast
immobilization and brace may be one of the
recommendable treatment methods in isolated
acute PCL injury.
E-poster #614
Patellar Osteomyelitis Presented as Prepatellar
Bursitis
Ho-Rim Choi, Cheon-An, KOREA, Presenter
Jong-Seok Park, Cheon-An, Choong-Nam SOUTH
KOREA
Joon-Min Song, Cheon-An, Choong-Nam SOUTH
KOREA
SoonChunHyang University Hospital, Cheon-An,
KOREA
Osteomyelitis of the patella is a very rare
condition and it is generally considered as a
disease of childhood. The diagnosis is frequently
delayed because of its rarity and variability in
presentation. Authors report two cases of patellar
osteomyelitis which was presented as prepatellar
bursitis in children.
E-poster #615
Medial Patello-Femoral Ligament
Reconstruction in Children After Patella
Dislocation
Michal Drwiega, Warsaw, POLAND, Presenter
Robert Smigielski, Warsaw, POLAND
Urszula Zdanowicz, Warsaw, POLAND
Carolina Medical Center, Warsaw, POLAND
Aim
Dislocation of the patella are very often cause of
knee dysfunction in children. This is a result of
abnormal knee anatomy as well as an inborn joint
laxity. The most common way of treatment in this
kind of injury is joint punction and immobilization