Knee Injury Treatments North Little Rock AR

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Michael Quick, DDS
(501) 758-1741
2501 Crestwood Rd Ste 303
N Little Rock, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Billy D Vaden, DDS
(501) 758-4112
5401 John F Kennedy Blvd
N Little Rock, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Charles A Redmond, DDS
(501) 753-5594
4137 John F Kennedy Blvd
N Little Rock, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
R Dale Blasier
(501) 364-1100
800 Marshall St
Little Rock, AR
Specialty
Orthopedic Surgery

Data Provided By:
James Aronson
(501) 364-1100
800 Marshall St # 653
Little Rock, AR
Specialty
Orthopedic Surgery

Data Provided By:
Harold Gene Hutson, MD
(501) 227-4150
North Little Rock, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1957

Data Provided By:
Alexander Stephen Kita, DDS
(501) 758-9697
Ste 126 2504 Mccain Blvd
N Little Rock, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Carl Nelson
(501) 686-7813
1 Children's Way
Little Rock, AR
Gender
M
Education
Medical School: In Univ Sch Of Med
Year of Graduation: 1959
Speciality
Orthopedic Surgeon
General Information
Hospital: U A M S Med Ctr, Little Rock, Ar
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

Data Provided By:
John Allen Daniel, DDS
(501) 223-8442
12419 Cantrell Rd
Little Rock, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Aronson, MD
(501) 320-1468
Slot 839 800 Marshall St
Little Rock, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1975

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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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