Operative Techniques in Sports Medicine
Volume 17, Issue 3 , Pages 141-147 , July 2009

Management of the Posterior Cruciate Ligament-Based Multiligament-Injured Knee

  • Bruce A. Levy, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Bruce A. Levy, MD, Department of Orthopaedic Surgery and Sports Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905
    • ,
  • Michael J. Stuart, MD

References 

  1. Shelbourne KD, Davis TJ, Patel DV. The natural history of acute, isolated, nonoperatively treated posterior cruciate ligament injuries (A prospective study). Am J Sports Med. 1999;27:276–283
  2. Levy BA, Fanelli GC, Whelan DB, et al. Controversies in the treatment of knee dislocations and multiligament reconstruction. J Am Acad Orthop Surg. 2009;17:197–206
  3. Fanelli GC. Surgical reconstruction for acute posterolateral injury of the knee. J Knee Surg. 2005;18:157–162
  4. Inoue M, Yasuda K, Kondo E, et al. Primary repair of posterior cruciate ligament avulsion fracture: The effect of occult injury in the midsubstance on postoperative instability. Am J Sports Med. 2004;32:1230–1237
  5. Meyers MH. Isolated avulsion of the tibial attachment of the posterior cruciate ligament of the knee. J Bone Joint Surg Am. 1975;57:669–672
  6. Fanelli GC. Posterior cruciate ligament rehabilitation: How slow should we go?. Arthroscopy. 2008;24:234–235
  7. Sems SA, Levy BA, Dajani K, et al. Incidence of deep venous thrombosis after temporary joint spanning external fixation for complex lower extremity injuries. J Trauma. 2009;66:1164–1166
  8. Fanelli GC, Edson CJ. Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction in the multiple ligament injured knee: 2- to 10-year follow-up. Arthroscopy. 2002;18:703–714
  9. Levy BA, Dajani KA, Whelan DB, et al. Decision making in the multiligament-injured knee: An evidence-based systematic review. Arthroscopy. 2009;25:430–438
  10. Schechinger SJ, Levy BA, Dajani KA, et al. Achilles tendon allograft reconstruction of the fibular collateral ligament and posterolateral corner. Arthroscopy. 2009;25:232–242
  11. Stannard JP, Brown SL, Farris RC, et al. The posterolateral corner of the knee: Repair versus reconstruction. Am J Sports Med. 2005;33:881–888
  12. Kovachevich R, Shah JP, Arens AM, et al. Operative management of the medial collateral ligament in the multi-ligament injured knee: An evidence-based systematic review. Knee Surg Sports Traumatol Arthrosc. 2009;17:823–829
  13. Levy BA. Repair vs reconstruction of posteromedial and posterolateral corners in the multi-ligament injured knee. In: Proceedings of AAOS/AOSSM Specialty Day. Las Vegas, NV. 2009;
  14. Bergfeld JA, Graham SM, Parker RD, et al. A biomechanical comparison of posterior cruciate ligament reconstructions using single- and double-bundle tibial inlay techniques. Am J Sports Med. 2005;33:976–981
  15. McAllister DR, Markolf KL, Oakes DA, et al. A biomechanical comparison of tibial inlay and tibial tunnel posterior cruciate ligament reconstruction techniques: Graft pretension and knee laxity. Am J Sports Med. 2002;30:312–317
  16. Cooper DE, Stewart D. Posterior cruciate ligament reconstruction using single-bundle patella tendon graft with tibial inlay fixation: 2- to 10-year follow-up. Am J Sports Med. 2004;32:346–360
  17. McAllister DR, Miller MD, Sekiya JK, et al. Posterior cruciate ligament biomechanics and options for surgical treatment. Instr Course Lect. 2009;58:377–388
  18. Jordan SS, Campbell RB, Sekiya JK. Posterior cruciate ligament reconstruction using a new arthroscopic tibial inlay double-bundle technique. Sports Med Arthrosc. 2007;15:176–183
  19. Kim SJ, Park IS. Arthroscopic reconstruction of the posterior cruciate ligament using tibial-inlay and double-bundle technique. Arthroscopy. 2005;21:1271
  20. Yasuda K, Kitamura N, Kondo E, et al. One-stage anatomic double-bundle anterior and posterior cruciate ligament reconstruction using the autogenous hamstring tendons. Knee Surg Sports Traumatol Arthrosc. 2009;17:800–805
  21. Wang CJ, Weng LH, Hsu CC, et al. Arthroscopic single-versus double-bundle posterior cruciate ligament reconstructions using hamstring autograft. Injury. 2004;35:1293–1299
  22. Markolf KL, Feeley BT, Jackson SR, et al. Biomechanical studies of double-bundle posterior cruciate ligament reconstructions. J Bone Joint Surg Am. 2006;88:1788–1794
  23. Whiddon DR, Zehms CT, Miller MD, et al. Double compared with single-bundle open inlay posterior cruciate ligament reconstruction in a cadaver model. J Bone Joint Surg Am. 2008;90:1820–1829
  24. Wong T, Wang CJ, Weng LH, et al. Functional outcomes of arthroscopic posterior cruciate ligament reconstruction: Comparison of anteromedial and anterolateral trans-tibia approach. Arch Orthop Trauma Surg. 2009;129:315–321
  25. Burks RT, Schaffer JJ. A simplified approach to the tibial attachment of the posterior cruciate ligament. Clin Orthop Relat Res. 1990;216–219
  26. LaPrade RF, Ly TV, Wentorf FA, et al. The posterolateral attachments of the knee: A qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med. 2003;31:854–860
  27. Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction. Arthroscopy. 1996;12:5–14

 The authors did not receive grants or outside funding in support of their research or preparation of this manuscript.

PII: S1060-1872(09)00091-4

doi: 10.1053/j.otsm.2009.06.003

Operative Techniques in Sports Medicine
Volume 17, Issue 3 , Pages 141-147 , July 2009

Article Tools

* Image Usage & Resolution