Knee Injury Treatments Walled Lake MI

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Wesley Paul Jackson, MD
(313) 916-3700
Novi, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 2000

Data Provided By:
Sundus Sindy Goodman, DDS
(248) 465-7500
43430 W 12 Mile Rd Goodman Orthodontice Ste 101
Novi, MI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mary Francis Antkowiak, DDS
(248) 360-5315
Commerce Township, MI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Eugene P Mitchell
(248) 937-4947
1 William Carls Dr
Commerce Township, MI
Specialty
Orthopedic Surgery

Data Provided By:
Nelson M Hersh, DDS
(248) 360-7700
8362 Richardson Rd
Commerce Twp, MI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Roy Lokar, DDS
(248) 348-9540
42450 W 12 Mile Rd Ste 220
Novi, MI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Barry E Schapiro, MD
(954) 579-7923
41406 Clinton Dr
Novi, MI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Miami Sch Of Med, Miami Fl 33101
Graduation Year: 2000

Data Provided By:
Brian S Hood
(248) 937-4947
1 William Carls Dr
Commerce Township, MI
Specialty
Orthopedic Surgery

Data Provided By:
Roland Brandt
(248) 937-4947
1 William Carls Dr
Commerce Township, MI
Specialty
Orthopedic Surgery

Data Provided By:
Philip T Schmitt
(248) 937-4947
1 William Carls Dr
Commerce Township, MI
Specialty
Orthopedic Surgery

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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