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Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review

The primary posterior stabilizer of the knee is the posterior cruciate ligament (PCL), the largest intra-articular ligament in the human knee. One of the four primary ligaments of the knee joint, the PCL, serves to support the tibia on the femur. An extreme force applied anteriorly to the proximal t...

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Detalles Bibliográficos
Autores principales: Suneja, Anmol, Deshpande, Sanjay V, Wamborikar, Hitendra, Date, Swapnil V, Goel, Sachin, Sekhon, Gursimran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658065/
https://www.ncbi.nlm.nih.gov/pubmed/38022148
http://dx.doi.org/10.7759/cureus.47410
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author Suneja, Anmol
Deshpande, Sanjay V
Wamborikar, Hitendra
Date, Swapnil V
Goel, Sachin
Sekhon, Gursimran
author_facet Suneja, Anmol
Deshpande, Sanjay V
Wamborikar, Hitendra
Date, Swapnil V
Goel, Sachin
Sekhon, Gursimran
author_sort Suneja, Anmol
collection PubMed
description The primary posterior stabilizer of the knee is the posterior cruciate ligament (PCL), the largest intra-articular ligament in the human knee. One of the four primary ligaments of the knee joint, the PCL, serves to support the tibia on the femur. An extreme force applied anteriorly to the proximal tibia of the flexed knee results in trauma to the PCL. Dashboard injuries, which occur when the knee is driven into the dashboard after a collision with a motor vehicle, are frequent causes. Grade 1 and 2 acute injuries are often addressed conservatively due to the PCL's natural capacity for mending. If a grade 3 injury occurs, a cautious trial can be conducted on elderly or low-demand patients. When standard treatment for isolated grade 3 injuries has failed, surgery is advised. Single-bundle or double-bundle techniques using either transtibial tunnel or tibial inlay techniques are among the reconstruction approaches. Restoring the natural kinematics of the knee and forestalling persistent posterior and mixed rotatory knee laxity are the ultimate goals of treating PCL injuries through a personalized strategy. These injuries may become more common in the future as more people participate in sports. As a result of ongoing instability, discomfort, diminished function, and the emergence of inflammatory and degenerative disorders of joints, PCL rips are becoming more well-acknowledged as a cause of morbidity and decreased function.
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spelling pubmed-106580652023-10-20 Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review Suneja, Anmol Deshpande, Sanjay V Wamborikar, Hitendra Date, Swapnil V Goel, Sachin Sekhon, Gursimran Cureus Orthopedics The primary posterior stabilizer of the knee is the posterior cruciate ligament (PCL), the largest intra-articular ligament in the human knee. One of the four primary ligaments of the knee joint, the PCL, serves to support the tibia on the femur. An extreme force applied anteriorly to the proximal tibia of the flexed knee results in trauma to the PCL. Dashboard injuries, which occur when the knee is driven into the dashboard after a collision with a motor vehicle, are frequent causes. Grade 1 and 2 acute injuries are often addressed conservatively due to the PCL's natural capacity for mending. If a grade 3 injury occurs, a cautious trial can be conducted on elderly or low-demand patients. When standard treatment for isolated grade 3 injuries has failed, surgery is advised. Single-bundle or double-bundle techniques using either transtibial tunnel or tibial inlay techniques are among the reconstruction approaches. Restoring the natural kinematics of the knee and forestalling persistent posterior and mixed rotatory knee laxity are the ultimate goals of treating PCL injuries through a personalized strategy. These injuries may become more common in the future as more people participate in sports. As a result of ongoing instability, discomfort, diminished function, and the emergence of inflammatory and degenerative disorders of joints, PCL rips are becoming more well-acknowledged as a cause of morbidity and decreased function. Cureus 2023-10-20 /pmc/articles/PMC10658065/ /pubmed/38022148 http://dx.doi.org/10.7759/cureus.47410 Text en Copyright © 2023, Suneja et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Suneja, Anmol
Deshpande, Sanjay V
Wamborikar, Hitendra
Date, Swapnil V
Goel, Sachin
Sekhon, Gursimran
Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review
title Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review
title_full Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review
title_fullStr Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review
title_full_unstemmed Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review
title_short Outcome Analysis of Posterior Cruciate Ligament Injuries: A Narrative Review
title_sort outcome analysis of posterior cruciate ligament injuries: a narrative review
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10658065/
https://www.ncbi.nlm.nih.gov/pubmed/38022148
http://dx.doi.org/10.7759/cureus.47410
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