Results of primary repair in knee ligament injuries including the posterior cruciate ligament

Improved basic science data on the anatomy and bio-mechanics of the human posterior cruciate ligament have provided the orthopaedic surgeon with new information on which to base treatment decisions. Injuries to the posterior cruciate ligament are reported to comprise approximately 3% of all knee ligament injuries in the general population and as high as 37% in an emergency department setting. While the diagnosis of a posterior cruciate ligament injury can often be made with a physical examination, ancillary studies such as radiographs and magnetic resonance images can be very helpful in detecting associated ligament and bony injuries. In general, most partial (grades I and II) posterior cruciate ligament injuries can be treated nonoperatively. However, surgical reconstruction is usually recommended for those posterior cruciate ligament injuries that occur in combination with other structures. In this review, current surgical techniques of posterior cruciate ligament reconstruction based on anatomic and biomechanical studies will be discussed.

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Treatment of Partial Posterior Cruciate Ligament Injuries with Platelet-Rich Plasma in Growth Factors (PRGF) Intraligamentous Infiltration and a Specific Knee Brace

The Surgery Journal ◽

10.1055/s-0040-1722342 ◽

2021 ◽

Vol 07 (01) ◽

pp. e30-e34

Author(s):

David Barastegui ◽

Eduard Alentorn-Geli ◽

Dhaval Gotecha ◽

Marta Rius ◽

Jordi Navarro ◽

...

Keyword(s):

Posterior Cruciate Ligament ◽

Platelet Rich Plasma ◽

Cruciate Ligament ◽

Knee Injuries ◽

Ligament Injuries ◽

Level Of Evidence ◽

Knee Ligament ◽

Partial Tears ◽

Knee Ligament Injuries ◽

Multiligament Knee Injuries

AbstractPosterior cruciate ligament (PCL) injuries are not as common as other knee ligament injuries, but may present a challenging scenario for even skilled knee surgeons. Complete PCL tears are typically encountered in the setting of multiligament knee injuries and require surgical treatment. Isolated complete PCL injuries are uncommon and the best treatment is debated, and likely depends on the degree of symptoms and objective instability. However, many PCL injuries will be partial tears (grade I or II). The purpose of this chapter is to describe our treatment of choice for partial PCL injuries through a conservative approach. Level of evidence Level IV.

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Primary Repair for Posterior Cruciate Ligament Injuries

The American Journal of Sports Medicine ◽

10.1177/036354659602400309 ◽

1996 ◽

Vol 24 (3) ◽

pp. 298-305 ◽

Cited By ~ 59

Author(s):

Marcus Richter ◽

Hartmuth Kiefer ◽

Gerhard Hehl ◽

Lothar Kinzl

Keyword(s):

Posterior Cruciate Ligament ◽

Primary Repair ◽

Cruciate Ligament ◽

Ligament Injuries

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Multiple Ligament Knee Injuries

The Journal of Knee Surgery ◽

10.1055/s-0038-1636910 ◽

2018 ◽

Vol 31 (05) ◽

pp. 399-409 ◽

Cited By ~ 4

Author(s):

David Fanelli ◽

Gregory Fanelli

Keyword(s):

Knee Injury ◽

Cruciate Ligament ◽

Knee Injuries ◽

Organ System ◽

Ligament Injury ◽

Ligament Injuries ◽

Knee Ligament ◽

Functional Instability ◽

Adolescent Population ◽

Knee Ligament Injuries

AbstractThe posterior cruciate ligament (PCL)-based multiple ligament injury, or dislocated knee, is often part of a multisystem injury complex that not only includes the knee ligaments, but may also include blood vessels, skin, nerves, fractures, and other organ system trauma. These factors must be considered in the scope of treating this complex knee injury. These complex knee ligament injuries can result in significant functional instability for the affected individual. This article will discuss multiple ligament knee injuries evaluation, treatment, and special considerations in the pediatric and adolescent population.

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