Knee Injury Treatments Bolivar MO

This page provides useful content and local businesses that can help with your search for Knee Injury Treatments. You will find helpful, informative articles about Knee Injury Treatments, including "New Treatments for PCL Tears Available". You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Bolivar, MO that will answer all of your questions about Knee Injury Treatments.

Nathan Mitchell Melton
(417) 777-2663
1245 N Butterfield Rd
Bolivar, MO
Specialty
Orthopedic Surgery

Data Provided By:
Newt Wakeman, MD
(417) 269-3861
1245 N Butterfield Rd
Bolivar, MO
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert A Shively, MD
(314) 652-4100
915 N Grand Ave
Saint Louis, MO
Business
Washington University Orthopedics
Specialties
Orthopedics

Data Provided By:
Kevin Andrew Kline
(660) 665-7008
1905 S High St
Kirksville, MO
Specialty
Orthopedic Surgery

Data Provided By:
Robert L Pierron
(636) 946-7050
400 1st Capitol Dr
Saint Charles, MO
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Ronald Smith, MD
(417) 777-2664
PO Box 67
Bolivar, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1985

Data Provided By:
Jasper N Wakeman Jr, MD
(417) 777-2663
1245 N Butterfield Rd
Bolivar, MO
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1964
Hospital
Hospital: Citizens Mem Hosp, Bolivar, Mo
Group Practice: Parkview Orthopaedic Clinic

Data Provided By:
Gbolahan Okubadejo, MD
(314) 747-2835
One Barnes Hosp Plz Ste 11300 West Pavilion
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
John J Krautmann
(573) 556-7724
1241 W Stadium Blvd
Jefferson City, MO
Specialty
Orthopedic Surgery

Data Provided By:
Peter I Vilkins
(816) 559-6500
2790 Clay Edwards Dr
North Kansas City, MO
Specialty
Orthopedic Surgery

Data Provided By:
Data Provided By:

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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