Knee Injury Treatments Kapaa HI

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Timothy Edmund Schendel
(808) 245-1500
3-3420 Kuhio Highway
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Michael R Bailey, DMD
(808) 245-1818
4370 Kukui Grove St Ste 212
Lihue, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gregory Paul Kassel, MD
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1995

Data Provided By:
David Rovinsky
(808) 245-1523
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Floyd Homer Pohlman
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Floyd Pohlman
(808) 245-1500
3-3420B Kuhio Hwy # B
Lihue, HI
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Catherine Hekyung Shin
(808) 384-1822
3125 Akahi St
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Thomas Bird Grollman, MD
(808) 245-4824
PO Box 1607
Lihue, HI
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1965

Data Provided By:
Richard Andre Gosselin
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Timothy Edmund Schendel, MD
(808) 245-1523
3-3420 Kuhio Hwy
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1995

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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