Knee Injury Treatments Anchorage AK

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William M Dotson, DDS
(907) 563-2828
3401 Denali St Ste 203
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William Andrew Paton
(907) 729-1615
4315 Diplomacy Dr
Anchorage, AK
Specialty
Orthopedic Surgery

Data Provided By:
Thomas P Vasileff
(907) 563-3145
3260 Providence Dr
Anchorage, AK
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Douglas Bald
Orthopedic Physicians Anchorage, Suite 300, 3801 Lake Otis Parkway
Anchorage, AK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
William James Mills III, MD
(907) 562-2277
4100 Lake Otis Parkway Su
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1989

Data Provided By:
Dr.Tim Kavanaugh
(907) 334-6788
2741 Debarr Rd # C210
Anchorage, AK
Gender
M
Education
Medical School: Finch U Of Hs/Chicago Med Sch
Year of Graduation: 1996
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.4, out of 5 based on 4, reviews.

Data Provided By:
Dr.Douglas Vermilion
(907) 644-6055
Physical Therapy - Suite 325, 3260 Providence Drive, St 200
Anchorage, AK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Alaska Regoinal
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Robert J Hall
(907) 562-2277
3801 Lake Otis Pkwy, Suite 300
Anchorage, AK
Specialty
Orthopedic Surgery

Data Provided By:
John M Sparaga, DMD
(907) 522-5000
9500 Independence Dr Ste 1000
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William Andrew Paton, MD
(907) 729-1615
4315 Diplomacy Dr
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1969

Data Provided By:
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New Treatments for PCL Tears Available

Written by Administrator   
When people think of knee injuries, many people think of torn ACLs, anterior cruciate ligaknee surgeryments; and for good reason: nearly 200,000 ACL surgeries are performed in the U.S. each year. Most people however are not aware that knee pain and damage can also be from an injured or torn posterior cruciate ligament (PCL). PCL surgeries are estimated to be approximately 20 times less common, than ACL surgeries and often go undiagnosed.

While major advances have been made in the understanding of posterior cruciate ligament (PCL) anatomy and reconstruction, a literature review published in the July 2009 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) finds that there must be continued advances in basic science research in order to determine the best course of treatment for those with PCL injuries.

"An ACL (anterior cruciate ligament) tear is an injury of instability; a PCL tear is an injury of disability," said study author Matthew Matava, MD, Associate Professor, Department of Orthopedic Surgery, Washington University School of Medicine, in Chesterfield, Missouri. "With a PCL injury, your knee won't buckle on you tomorrow, but in a few months or years it may become painful and not as strong or stable as it was prior to the injury. PCL tears are less frequently discussed because they are often left undiagnosed and the patient does not seek treatment for what they assumed was a mild injury."

PCL injuries are assessed by grades:

  • Grade 1: Partial tear (non-surgical treatment options recommended)
  • Grade 2: Isolated, near complete tear (non-surgical treatment options recommended)
  • Grade 3: Complete PCL torn, with other ligament injuries (surgery often recommended, but not always)

Two newer PCL reconstruction surgical options, along with one traditional method, are currently used to treat Grade 3 injuries:

  • Traditional: One-bundle bone graft passed through a tunnel in the tibia (shin bone). One-bundle grafts are made thicker than two-bundle grafts, but may not be as effective because they attach at a single point.
  • Newer: Two-bundle graft (studied for the past 10 years). Two-bundle grafts use thinner individual grafts, but their total graft volume is thicker. They may be more effective than one-bundle grafts because they attach at two different points.
  • Newer: Inlay reconstruction is an approach whereby a graft is screwed into the back of the tibia avoiding a tunnel through the front of the tibia.

According to Dr. Matava, basic science data suggests that it is favorable to use a two-bundle graft over a one-bundle graft, and that an inlay reconstruction is preferable to a graft passing through a tibial tunnel. Inlay reconstruction is different, he says, because the graft does not get stretched around the tibial tunnel and is prevented from stretching out and/or fraying.

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