Knee Injury Treatments Los Lunas NM

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William B Pratt, MD
(505) 869-4212
Bosque Farms, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Frank Hamilton Peacock, DDS
(505) 452-8633
2127 Los Padillas Rd Sw
Albuquerque, NM
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Anthony F Pachelli, MD
(505) 724-4300
201 Cedar St SE
Albuquerque, NM
Business
New Mexico Orthopaedic Associates
Specialties
Orthopedics

Data Provided By:
Omar Nizar Osmani, MD
(505) 622-7600
115 E 19th St
Roswell, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: American Univ Of Beirut, Fac Of Med, Beirut, Lebanon
Graduation Year: 1993

Data Provided By:
Irvine G Jordan, MD FACS
4632 Greene St NW
Albuquerque, NM
Gender
Male
Education
Medical School: Tulane
Graduation Year: 1946

Data Provided By:
John Charles France, MD
(304) 535-6343
3436 Isleta Blvd SW
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1986

Data Provided By:
Paul Lesko, MD
Albuquerque, NM
Specialty
Orthopaedic Sugeon

Data Provided By:
Michael E McCutcheon, MD
(505) 242-5205
201 Cedar St SE Ste 6600
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1969

Data Provided By:
James Francis Lunardon, DDS
(505) 887-2444
701 N Canyon St
Carlsbad, NM
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joseph Fromm Hollinger, MD
(505) 242-2500
1 Woodward Center 700 Lomas Blvd NE
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1962
Hospital
Hospital: Albuquerque Reg Med Ctr, Albuquerque, Nm; Presbyterian Hospital, Albuquerque, Nm; St Vincent Hospital, Santa Fe, Nm
Group Practice: Orthopaedic Bone & Joint Specialists Pa

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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