Knee Injury Treatments Marrero LA

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Fernando L Sanchez, MD
(504) 347-0243
4500 10th St
Marrero, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Del Cauca, Div De Cien La Salud, Popayan, Colombia
Graduation Year: 1989

Data Provided By:
Robert Douglas Bostick
(504) 349-6804
1111 Medical Center Blvd
Marrero, LA
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Matthew Grimm
(504) 349-6804
1111 Medical Center Blvd # 804
Marrero, LA
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
Joseph James Frensilli, MD
(504) 347-0243
4500 10th St
Marrero, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1956

Data Provided By:
Daniel James Gallagher
(504) 347-5421
4633 Wichers Dr
Marrero, LA
Specialty
Orthopedic Surgery

Data Provided By:
Matthew R Grimm
(504) 349-6804
1111 Medical Center Blvd
Marrero, LA
Specialty
Orthopedic Surgery

Data Provided By:
Chris Joseph Di Grado, MD
(504) 347-0243
4500 10th St
Marrero, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1973

Data Provided By:
Daniel James Gallagher, MD
(504) 347-5421
4633 Wichers Dr
Marrero, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1990

Data Provided By:
Kenneth David Kessler, MD
(504) 347-0243
4500 10th St
Marrero, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1993

Data Provided By:
Robert Douglas Bostick, MD
(504) 349-6804
1111 Medical Center Blvd Ste N-804
Marrero, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1996

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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