Knee Injury Treatments Prineville OR

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Dr.Brett Gingold
(541) 388-2333
1315 Northwest 4th Street
Redmond, OR
Gender
M
Education
Medical School: Univ Of Vt Coll Of Med
Year of Graduation: 1997
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

Data Provided By:
Kathleen R Moore, MD
(541) 388-2333
2300 SW Glacier Pl
Redmond, OR
Specialties
Orthopedics
Gender
Female
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1989

Data Provided By:
Scot E Burgess, DMD
(541) 923-7432
PO Box 697 710 SW Highland Ave
Redmond, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Andrew Godzyk, DMD
(503) 654-4444
11162 SE 23rd Ave
Milwaukie, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William Gray Grieve, DDS
(541) 484-1877
995 Willagillespie Rd Ste 400
Eugene, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Roy Karmy, MD
(541) 923-0728
333 NW Larch Ave
Redmond, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1973
Hospital
Hospital: Mountain View Hospital Dist, Madras, Or; Central Oregon District Hosp, Redmond, Or
Group Practice: Redmond Orthopedic Clinic

Data Provided By:
Richard Henry Bolt, MD
(541) 923-4382
3310 NW Tetherow Bridge Loop
Redmond, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1970
Hospital
Hospital: Memorial Hospital At Oconomowo, Oconomowoc, Wi; Waukesha Memorial Hospital, Waukesha, Wi
Group Practice: Orthopaedic Assoc-Waukesha

Data Provided By:
Dr.James Verheyden
(541) 382-3344
2200 NE Neff Rd # 200
Bend, OR
Gender
M
Education
Medical School: Univ Of Wi Med Sch
Year of Graduation: 1997
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.2, out of 5 based on 3, reviews.

Data Provided By:
Rudolf Glenn Hoellrich, MD
(541) 485-8111
1200 Hilyard St Ste 600
Eugene, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1997

Data Provided By:
Steven Frederick Hoff
(503) 231-4914
5050 Ne Hoyt
Portland, OR
Specialty
Adult Reconstructive Orthopaedic 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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