Knee Injury Treatments Eagle River AK

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Jeffrey Scott Moore, MD
(907) 279-2663
10701 Sarah Barton Cir
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1987

Data Provided By:
Eldon L De Kay, DDS
(907) 697-3555
16635 Centerfield Dr # 201
Eagle River, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jordan Thomas Hartman, DDS
(907) 337-1536
2601 Boniface Pkwy
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Leo Koropp, DMD
(907) 338-8999
2601 Boniface Pkwy
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Wm Lipke, MD
(907) 229-5363
4048 Laurel St Ste 302
Anchorage, AK
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1972

Data Provided By:
Todd Soung Kim, MD
17712 Toakoana Way
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Diego, Sch Of Med, La Jolla Ca 92093
Graduation Year: 1999

Data Provided By:
John Riser Scott, MD
(907) 622-3569
32907 Upper Rd Cirrus Way
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1955

Data Provided By:
Greg L Schumacer
(907) 580-1572
5955 Zeamer Ave
Elmendorf Afb, AK
Specialty
Orthopedic Surgery

Data Provided By:
Kurt D Mentzer
(907) 580-3205
5955 Zeamer Avenue
Elmendorf Afb, AK
Specialty
Hand Surgery

Data Provided By:
Timothy Sean Kavanaugh, MD
(907) 334-6788
2751 Debarr Rd Ste B-285
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1996

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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