Surgical treatment of posterior cruciate ligament tears: An evolving technique

Matthew J. Matava, Evan Ellis, Brian Gruber

Research output: Contribution to journalArticlepeer-review

66 Scopus citations

Abstract

Major advances have been made recently in the areas of posterior cruciate ligament (PCL) anatomy and biomechanics, and several basic science studies have attempted to clarify the variables relevant to the optimal methods of PCL reconstruction. The emerging science concerning the PCL relates primarily to the biomechanical benefits of the inlay technique of tibial fixation compared with traditional tunnel fixation, use of one versus two reconstructive graft bundles, location of the femoral tunnels, and the ideal degree of graft tensioning. Despite these advances, the conclusions concerning these relevant issues are often in conflict, even with well-conceived experimental designs. Although basic knowledge regarding evolving reconstructive methods is improving, many questions remain unanswered. As a result, it is difficult to advocate one particular reconstructive technique. The optimal method of PCL reconstruction can be determined only with continued advances in basic science studies and the implementation of carefully conceived clinical trials isolating one reconstructive variable.

Original languageEnglish
Pages (from-to)435-446
Number of pages12
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume17
Issue number7
DOIs
StatePublished - Jul 2009

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