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

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.

Multiple Ligament Knee Injuries

2018 ◽  
Vol 31 (05) ◽  
pp. 399-409 ◽  
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.

Evaluation and Treatment of Posterior Cruciate Ligament Injuries

1998 ◽  
Vol 26 (3) ◽  
pp. 471-482 ◽  
Author(s):  
Christopher D. Harner ◽  
Jürgen Höher
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Surgical Techniques ◽  
Magnetic Resonance Images ◽  
Surgical Reconstruction ◽  
Ligament Injury ◽  
Ligament Injuries ◽  
Science Data ◽  
Knee Ligament ◽  
Knee Ligament Injuries

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.

Neurologic and Vascular Injuries Associated with Knee Ligament Injuries

2008 ◽  
Vol 36 (12) ◽  
pp. 2448-2462 ◽  
Author(s):  
Michael E. Johnson ◽  
Lynanne Foster ◽  
Jesse C. DeLee
Keyword(s):  
Patient Outcomes ◽  
Popliteal Artery ◽  
Tibial Nerve ◽  
Knee Injuries ◽  
Vascular Complications ◽  
Common Peroneal Nerve ◽  
Nerve Injuries ◽  
Ligament Injuries ◽  
Knee Ligament ◽  
Knee Ligament Injuries

Background Multiple ligament knee injuries are commonly associated with neurovascular complications such as popliteal artery, common peroneal nerve, and tibial nerve injuries. Hypothesis While the importance of identifying these complications in association with bicruciate and triligamentous injuries has been well established, it is important to recognize that any biligamentous and some single ligament knee injuries present with neurological and vascular complications as well. Study Design Literature review. Conclusion Popliteal artery injuries require immediate intervention to help prevent limb loss. Peroneal and tibial nerve injuries can be a significant cause of morbidity and, therefore, require an understanding of their natural history, anatomy, and pathophysiologic implications to maximize functionality. Clinical Relevance This review explores the types, mechanisms, and classifications of common neurovascular complications of knee ligament injuries, discusses their diagnosis, and reviews the therapeutic options available to optimize patient outcomes.

The Prevalence of Cruciate Ligament and Meniscus Knee Injury in Young Adults and Associations with Gender, Body Mass Index, and Height a Large Cross-Sectional Study

2016 ◽  
Vol 30 (06) ◽  
pp. 565-570 ◽  
Author(s):  
Ran Thein ◽  
Barak Gordon ◽  
Gideon Burstein ◽  
Shay Tenenbaum ◽  
Estela Derazne ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Young Adults ◽  
Knee Injury ◽  
Cruciate Ligament ◽  
Body Height ◽  
Knee Injuries ◽  
Meniscal Injury ◽  
Ligament Injuries ◽  
Cross Sectional ◽  
Knee Ligament

AbstractAnterior cruciate ligament and meniscal injuries are associated with secondary osteoarthrosis which may lead to functional impairment and economic burden. The prevalence of knee injury has not been studied in depth. Our purpose was to report the prevalence of knee ligament and meniscal injuries and their associations with gender, body mass index (BMI), and height in young adults and to characterize individuals with meniscal injuries who gained full recovery. A cross-sectional, population-based study was conducted. Information on the disability codes of knee ligament and meniscal injury according to the Regulations of Medical Fitness Determination was retrieved from a medical database containing records of young prerecruits into mandatory service. Logistic regression assessed the association between genders, BMI, and body height to knee injuries. A total of 825,187 subjects were included. Prevalence of knee injuries was 0.35%. Males had 2.2-fold more knee injuries than females. Increased BMI was associated with increased prevalence of knee injury in both genders, more significantly in females (overweight and obese females had an odds ratio of 1.406 and 1.519, respectively, to suffer from concomitant meniscal and ligamentous knee injury). Being underweight was associated with a lower prevalence of knee injury. An above normal BMI was more significantly associated with meniscal and/or ligament injuries that did not fully recover (females > males). Body height was associated with isolated meniscal injury in both genders. We found an association between BMI, body height, and knee injury in both males and females. Higher body height and higher BMI might be risk factors for knee injuries. Higher BMI was associated with greater probability of disability coding. Meniscal and ligament injuries are more common among males.

Anatomic Reconstruction of the Posterior Cruciate Ligament after Multiligament Knee Injuries: A Combination of the Tibial-Inlay and Two-Femoral-Tunnel Techniques

2003 ◽  
Vol 31 (2) ◽  
pp. 196-202 ◽  
Author(s):  
James P. Stannard ◽  
Reneé S. Riley ◽  
Todd M. Sheils ◽  
Gerald McGwin ◽  
David A. Volgas
Keyword(s):  
Posterior Cruciate Ligament ◽  
Femoral Tunnel ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Anatomic Reconstruction ◽  
Joint Stability ◽  
Posterior Displacement ◽  
Multiligament Knee Injuries ◽  
Tibial Inlay

Background: Neither operative nor nonoperative treatment of posterior cruciate ligament rupture after multiligament knee injuries have shown very favorable outcomes. Hypothesis: Reconstruction of the posterior cruciate ligament by combining the tibial-inlay and two-femoral-tunnel techniques will result in improved stability and functional outcomes. Study Design: Prospective cohort study. Methods: Twenty-nine patients with 30 posterior cruciate ligament ruptures and multiligament knee injuries treated with the combined technique were evaluated with clinical, radiographic, and functional outcome measures. Results: All patients had a clinical examination result indicating joint stability (0 or 1+) at an average follow-up of 25 months (range, 15 to 39). Twenty-three knees had no laxity, and seven had 1+ laxity. The KT-2000 arthrometer data documented less than 0.5 mm of side-to-side mean difference for both posterior displacement and total anterior-posterior displacement at both 30° and 70° of knee flexion. Knee range of motion was a mean extension of 1° (range, 0° to 10°) and a mean flexion of 124° (range, 75° to 145°). Mean Lysholm knee score was 89.4. Conclusions: Reconstruction with a combination tibial-inlay and two-femoral-tunnel technique provides good results after multiligament knee injuries. All patients had a stable posterior cruciate ligament at most recent clinical follow-up, and 77% had no laxity at all.

Sign in / Sign up

Export Citation Format

Share Document