Knee Injury Treatments North Attleboro MA

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Edward Akelman, MD
(401) 457-1500
2 Dudley St
Providence, RI
Business
University Orthopedics Inc
Specialties
Orthopedics

Data Provided By:
Charles A Fathallah
(508) 226-4455
146 Pleasant St
Attleboro, MA
Specialty
Orthopedic Surgery

Data Provided By:
Kevin Bowman
(508) 222-4450
16 Hillside Ave
Attleboro, MA
Specialty
Orthopedic Surgery

Data Provided By:
Ghanshyam P Massand, MD
(508) 226-3111
550 N Main St
Attleboro, MA
Specialties
Orthopedics
Gender
Male
Languages
Portuguese, Spanish
Education
Medical School: Seth G S Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1964
Hospital
Hospital: Hubbard Regional Hospital, Webster, Ma
Group Practice: Osteoporosis & Arthritis Ctr

Data Provided By:
Kenneth Roceo Catallozzi
(401) 944-3800
2138 Mendon Rd
Cumberland, RI
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Harold Guild, MD
(508) 226-2213
PO Box 1060
Attleboro, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1970
Hospital
Hospital: Sturdy Memorial Hospital, Attleboro, Ma
Group Practice: Southern New England Orthopedi

Data Provided By:
Charles Aziz Fathallah, MD
(508) 226-4455
146 Pleasant St
Attleboro, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ain Shams Univ, Fac Of Med, Abbasia, Cairo, Egypt (330-04 Pr 1/71)
Graduation Year: 1970

Data Provided By:
Kevin Scott Bowman, MD
(508) 222-4450
16 Hillside Ave
Attleboro, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, Davis, Sch Of Med, Davis Ca 95616
Graduation Year: 1993

Data Provided By:
Geret Alan Du Bois, MD
(401) 723-8300
PO Box L
Pawtucket, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1967

Data Provided By:
Ira Joel Singer
(401) 334-1060
2138 Mendon Rd
Cumberland, RI
Specialty
Orthopedic Surgery

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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