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J Knee Surg 2020; 33(05): 421-430
DOI: 10.1055/s-0039-3402792
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Posterior Cruciate Ligament Reconstruction in the Multiple Ligament Injured Knee

Authors

  • Michelle E. Kew 

    1   Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia

  • Mark D. Miller

    1   Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia
Further Information

Publication History

10 November 2019

27 November 2019

Publication Date:
06 January 2020 (online)

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Abstract

Multiligamentous knee injuries are challenging to treat and diagnose. Posterior cruciate ligament (PCL) injuries are commonly found in the constellation of injuries included in a multiligamentous knee injury and are caused by a posteriorly directed force on the proximal tibia with relation to the femoral condyles. A thorough history and physical examination should be performed to evaluate for associated neurovascular injuries and associated ligamentous, chondral, or bony injuries. Nonsurgical management is reserved for patients who are critically ill or have very low activity demands. Surgical reconstruction is recommended for most patients with multiligamentous knee injuries. The PCL reconstruction can be undertaken with several different graft options and reconstruction techniques, including the transtibial, arthroscopic tibial inlay, and open tibial inlay approach. The literature has a paucity of data regarding outcomes among the various reconstructive options, so the optimal surgical technique has not been established.

Keywords

knee - ligamentous injury - ligament reconstruction