Knee Injury Treatments Burlington IA

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Michael William Hendricks, MD
(319) 758-9133
600 N Main St
Burlington, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1981
Hospital
Hospital: Great River Med Ctr, W Burlington, Ia; Ft Madison Comm Hosp, Fort Madison, Ia
Group Practice: Southeast Iowa Orthopaedics

Data Provided By:
Teresa A Salino-Hugg, DDS
(319) 752-2025
Drs Salino & Hugg 700 N 3rd St
Burlington, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Douglas Foster, MD
(319) 768-3326
1019 N 7th St
Burlington, IA
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1985
Hospital
Hospital: Baxter Reg Med Ctr, Mountain Home, Ar; Washington Reg Med Ctr, Fayetteville, Ar
Group Practice: Ozark Spine & Orthopedic Spec

Data Provided By:
Theron Quentin Jameson
(319) 768-4970
1225 S Gear Ave
West Burlington, IA
Specialty
Orthopedic Surgery

Data Provided By:
Gregory Rex Hill
(319) 752-1700
1225 S Gear Ave
West Burlington, IA
Specialty
Orthopedic Surgery

Data Provided By:
Koert Robert Smith Jr, MD
(319) 752-6980
Burlington, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1969

Data Provided By:
James R Hugg, DDS
(319) 752-2025
Drs Hugg & Salino-Hugg 7OO N 3rd St
Burlington, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gregory Rex Hill, MD
(319) 752-1700
Mercy Plaza Ste 256 1225 S Gear Ave
West Burlington, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1997

Data Provided By:
Robert Douglas Foster
(319) 768-3320
1225 S Gear Ave
West Burlington, IA
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Jerry Leverne Jochims
(319) 752-4553
1225 S Gear Ave
West Burlington, IA
Specialty
Orthopedic Surgery

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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