Knee Injury Treatments Grand Forks ND

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Paul R MacLeod
(701) 780-6000
1000 S Columbia Rd
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Paul Rodger Macleod, MD
(701) 795-6778
PO Box 6003
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1981

Data Provided By:
David M Rathbone
(701) 780-6000
1000 S Columbia Rd
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Joff Garfield Thompson, MD
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1994

Data Provided By:
Michiel J Nuveen, DDS
(701) 772-4835
1165A S Columbia Rd
Grand Forks, ND
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert A Johnson
(701) 780-6000
1000 S Columbia Rd
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Dr.David Rathbone
(701) 780-6000
1300 South Columbia Road
Grand Forks, ND
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 1, reviews.

Data Provided By:
Brian Thomas Briggs, MD
(701) 775-5244
2617 S Columbia Rd
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Saskatchewan, Coll Of Med, Saskatoon, Sask, Canada
Graduation Year: 1974

Data Provided By:
Robert Hahn Cofield, MD
(701) 738-0790
3035 Demers Ave
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1969
Hospital
Hospital: Rochester Methodist Hospital, Rochester, Mn
Group Practice: Mayo Clinic

Data Provided By:
Robert Alan Johnson, MD
(701) 775-8309
PO Box 6003
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1976

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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