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Posterior Cruciate Ligament and Posterolateral Corner Reconstruction

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Knee Arthroscopy

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Much has been learned and written about the anterior cruciate ligament (ACL). Interest in the posterior cruciate ligament (PCL) is increasing, and more articles are appearing in the literature. The natural history of PCL tears has not been well defined. The general consensus has been that isolated PCL tears do well when treated nonoperatively, and multiple ligament injuries about the knee should be surgically stabilized [1–3].

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References

  1. Parolie JM, Bergfeld JA. Long term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete. Am J Sports Med 1986;14:35–38.

    Article  PubMed  CAS  Google Scholar 

  2. Fanelli GC. PCL tears—who needs surgery? Presented at: AANA Annual Meeting; April 1--4, 1993; Palm Dessert, CA:

    Google Scholar 

  3. Torg JS, Barton JM. Natural history of the posterior cruciate deficient knee. Clin Orthop 1989;246:208–216.

    PubMed  Google Scholar 

  4. Dandy DJ, Pusey RJ. The long term results of unrepaired tears of the posterior cruciate ligament. J Bone Joint Surg Br 1982;64:92–94.

    PubMed  CAS  Google Scholar 

  5. Keller PM, Shelbourne KD, McCarroll JR, Rettig AC. Nonoperatively treated isolated posterior cruciate ligament injuries. Am J Sports Med 1993;12:132–136.

    Article  Google Scholar 

  6. Trickey EL. Injuries to the posterior cruciate ligament. Clin Orthop 1980;147:76–81.

    PubMed  Google Scholar 

  7. Johnson JC, Back BR. Current concepts review, posterior cruciate ligament. Am J Knee Surg 1990;3:143–153.

    Google Scholar 

  8. Carlin GJ. Personal communication. Pittsburgh, PA: University of Pittsburgh Biomechanics Laboratory; March 1994.

    Google Scholar 

  9. Prietto MP, Bain JR, Stonebrook SN, Settlage RA. Tensile strength of the human posterior cruciate ligament. Presented at: 34th Annual Meeting, Orthopaedic Research Society; February 1–4, 1988; Atlanta, GA.

    Google Scholar 

  10. Woo SL, Hollis JM, Adams DJ, Lyon RM, Takai S. Tensile properties of the human femur-anterior cruciate ligament-tibia complex. Am J Sports Med 1991;19:217–225.

    Article  PubMed  CAS  Google Scholar 

  11. Cooper DE, Warren RF, Warner JJ. The posterior cruciate ligament and posterolateral structures of the knee: anatomy, functions, and patterns of injury. Instr Course Lect 1991;40:249–270.

    Google Scholar 

  12. Van Dommelen BA, Fowler PJ. Anatomy of the posterior cruciate ligament, a review. Am J Sports Med1989;17:24–29.

    Article  PubMed  Google Scholar 

  13. Girgis FG, Marshall JL, Al Monajem ARS. The cruciate ligaments of the knee joint: anatomical, functional, and experimental analysis. Clin Orthop 1975;106:216–231.

    Article  PubMed  Google Scholar 

  14. Kennedy JC, Grainger RW. The posterior cruciate ligament. J Trauma 1967;7:367–377.

    Google Scholar 

  15. Covey DC, Sapega AA, Sherman GM, Torg JS. Testing for “isometry” during posterior cruciate ligament reconstruction. Trans Orthop Res Soc 1992; 17:665.

    Google Scholar 

  16. Heller L, Langman J. The menisco-femoral ligaments of the human knee. J Bone Joint Surg Br 1964;46:307–313.

    PubMed  CAS  Google Scholar 

  17. Vladimirov B. Arterial sources of blood supply of the knee joint in man. Acta Med 1968;47:1–10.

    CAS  Google Scholar 

  18. Arnoczky SP, Rubin RM, Marshall JL. Microvasculature of the cruciate ligaments and its response to injury. J Bone Joint Surg Am 1979;61:1221–1229.

    PubMed  CAS  Google Scholar 

  19. Scapinelli R. Studies of the vasculature of the human knee joint. Acta Anat 1968;70:305–331.

    Article  PubMed  CAS  Google Scholar 

  20. Katonis PG Assimakopoulos AP, Agapitos MV, Exarchou EI. Mechanoreceptors in the posterior cruciate ligament. Acta Orthop Scand 1991;62:276–278.

    Article  Google Scholar 

  21. Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee. J Bone Joint Surg Am 1980;62:259–270.

    PubMed  CAS  Google Scholar 

  22. Gollehon DL, Torzilli PA, Warren RF. The role of the posterolateral and cruciate ligaments in the stability of the human knee. J Bone Joint Surg Am 1987;69:233–242.

    PubMed  CAS  Google Scholar 

  23. Brantigan OC, Voshell AF. The mechanics of the ligaments and menisci of the knee joint. J Bone Joint Surg 1941;23:44–66.

    Google Scholar 

  24. Covey DC, Sapega AA. Posterior cruciate ligament fiber length behavior under varied joint motion and loading conditions. Presented at: AAOS Annual Meeting; February 24--March 1 1994; New Orleans, LA.

    Google Scholar 

  25. Veltri DM, Warren RF. Posterolateral instability of the knee. J Bone Joint Surg Am 1994;76:460–472.

    Google Scholar 

  26. Clancy WG, Shelbourne KD, Zoellner GB, Keene JS, Reider B, Rosenberg TD. Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. Report of a new procedure. J Bone Joint Surg Am 1983;65:310–322.

    PubMed  Google Scholar 

  27. Degenhardt TC, Hughston JC. Chronic posterior cruciate instability: nonoperative management. Orthop Trans 1981;5:486–487.

    Google Scholar 

  28. Fanelli GC. PCL injuries in trauma patients. Arthroscopy 1993;9:291–294.

    Article  PubMed  CAS  Google Scholar 

  29. Fanelli GC, Edson CJ. PCL injuries in acute traumatic hemarthrosis of the knee. Presented at: AAOS Annual Meeting; February 24--March 1 1994; New Orleans, LA.

    Google Scholar 

  30. O’Donoghue DH. An analysis of end results of surgical treatment of major injuries to the ligaments of the knee. J Bone Joint Surg Am 1955;37:1–13.

    PubMed  Google Scholar 

  31. Parolie JM, Bergfeld JA. Long term results of non operative treatment of isolated posterior cruciate ligament injuries in the athlete. Am J Sports Med 1986;14:35–38.

    Article  PubMed  CAS  Google Scholar 

  32. Fanelli GC, Edson CJ. PCL injuries in trauma patients. Part II. Arthroscopy 1995;11:526–529.

    Article  PubMed  CAS  Google Scholar 

  33. Stanish WO, Rubinovich M, Armason T, Lapenskie G. Posterior cruciate ligament tears in wrestlers. Can J Appl Sports Sci 1986; 4:173–177.

    Google Scholar 

  34. Malek MM, Fanelli GC. Technique of arthroscopic PCL reconstruction. Orthopaedics 1993;16:961–966.

    CAS  Google Scholar 

  35. Fanelli GC, Giannotti BF, Edson CJ. Current concepts review. The posterior cruciate ligament: arthroscopic evaluation and treatment. Arthroscopy 1994;10:673–688.

    Article  PubMed  CAS  Google Scholar 

  36. Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted PCL/posterior lateral complex reconstruction. Arthroscopy 1996;12:521–530.

    Article  PubMed  CAS  Google Scholar 

  37. Fanelli GC, Monahan TJ. Complications of posterior cruciate ligament reconstruction. Sports Med Arthrosc Rev 1999;7:296–302.

    Article  Google Scholar 

  38. Fanelli GC. Point counter point. Arthroscopic posterior cruciate ligament reconstruction: single bundle/single femoral tunnel. Arthroscopy 2000;16:725–731.

    Article  PubMed  Google Scholar 

  39. Fanelli GC, Monahan TJ. Complications in posterior cruciate ligament and posterolateral complex surgery. Oper Tech Sports Med 2001;9:96–99.

    Article  Google Scholar 

  40. Fanelli GC, Edson CJ. Arthroscopically assisted combined ACL/PCL reconstruction. 2–10 year follow-up. Arthroscopy2002;18:703–714.

    Article  PubMed  Google Scholar 

  41. Fanelli GC, Edson CJ. Management of posterior cruciate ligament and posterolateral instability of the knee. In Chow J (ed.), Advanced Arthroscopy. New York: Springer-Verlag, 2001, pp. 545--558.

    Google Scholar 

  42. Fanelli GC, Monahan TJ. Complications and pitfalls in posterior cruciate ligament reconstruction. In Malek MM (editor-in-chief), Knee Surgery: Complications, Pitfalls, and Salvage. New York: Springer-Verlag, 2001, pp. 121--128.

    Google Scholar 

  43. Fanelli GC. Arthroscopic evaluation of the PCL. In Fanelli GC (ed.), Posterior Cruciate Ligament Injuries. A Guide to Practical Management. New York: Springer-Verlag, 2001, pp. 95--108.

    Google Scholar 

  44. Fanelli GC. Arthroscopic PCL reconstruction: transtibial technique. In Fanelli GC (ed.), Posterior Cruciate Ligament Injuries. A Guide to Practical Management.New York: Springer-Verlag, 2001, pp. 141--156.

    Google Scholar 

  45. Fanelli GC. Complications in PCL surgery. In Fanelli GC (ed.), Posterior Cruciate Ligament Injuries. A Guide To Practical Management. New York: Springer-Verlag, 2001, pp. 291--302.

    Google Scholar 

  46. Miller MD, Cooper DE, Fanelli GC, Harner CD, LaPrade RF. Posterior cruciate ligament: current concepts. In Beaty JH (ed.), American Academy of Orthopaedic Surgeons Instructional Course Lectures, Vol. 51. Rosemont, IL: American Academy of Orthopaedic surgery 2002, pp. 347–351.

    Google Scholar 

  47. Fanelli GC. Arthrotek PCL Reconstruction Surgical Technique Guide. Fanelli PCL-ACL Drill Guide System. Warsaw, IN: Arthrotek, Inc., 1998.

    Google Scholar 

  48. Fanelli GC, Edson CJ. Combined posterior cruciate ligament–posterolateral reconstruction with Achilles tendon allograft and biceps femoris tendon tenodesis: 2–10 year follow-up. Arthroscopy 2002;18:703--714.

    Google Scholar 

  49. Noyes FR, Barber-Westin SD. Posterior cruciate ligament revision reconstruction, part 1. Am J Sports Med 2005;33:646–654.

    Article  PubMed  Google Scholar 

  50. Sekiya JK, Haemmerle MJ, Stabile KJ, Vogrin TM, Harner CD. Biomechanical analysis of a combined double bundle posterior cruciate ligament and posterolateral corner reconstruction. Am J Sports Med 2005;33:360–369.

    Article  PubMed  Google Scholar 

  51. Robinson JR, Bull AMJ, Thomas RR, Amis AA. The role of the medial collateral ligament and posteromedial capsule in controlling knee laxity. Am J Sports Med 2006;34:1815–1823.

    Article  PubMed  Google Scholar 

  52. Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction. Arthroscopy 1996;12:5–14.

    Article  PubMed  CAS  Google Scholar 

  53. Fanelli GC, Feldmann DD. Management of combined ACL/PCL/posterolateral complex injuries of the knee. Oper Tech Sports Med 1999;7:143–149.

    Article  Google Scholar 

  54. Fanelli GC, Orcutt DR, Edson CJ. Current concepts: the multiple ligament injured knee. Arthroscopy 2005;21:471–486.

    Article  PubMed  Google Scholar 

  55. Fanelli GC, Edson CJ, Orcutt DR, Harris JD, Zijerdi D. Treatment of combined ACL PCL medial lateral side injuries of the knee. J Knee Surg 2005;28:240–248.

    Google Scholar 

  56. Fanelli GC. Surgical treatment of ACL-PCL-medial side-lateral side injuries of the knee. Oper Tech Sports Med 2003;11:263–274.

    Article  Google Scholar 

  57. Fanelli GC. Rationale and Surgical Technique for PCL and Multiple Knee Ligament Reconstruction. Surgical Technique Guide. Warsaw, IN: Sports Medicine Inc., 2006.

    Google Scholar 

  58. Fanelli GC, Edson CJ, Reinheimer KN. Posterior cruciate ligament reconstruction: transtibial tunnel surgical technique. Orthop Today 2007;27:40–46.

    Google Scholar 

  59. Fanelli GC. Surgical treatment of lateral posterolateral instability of the knee using biceps tendon procedures. Sports Med Arthrosc Rev 2006;14:37–43.

    Article  Google Scholar 

  60. Fanelli GC. Surgical reconstruction for acute posterolateral injury of the knee. J Knee Surg 2005;28:157–162.

    Google Scholar 

  61. Muller W (ed.). The Knee: Form, Function, and Ligamentous Reconstruction. New York: Springer-Verlag, 1983, pp. 246–248.

    Google Scholar 

  62. Fanelli GC, Lason RV. Practical management of posterolateral instability of the knee. Arthroscopy 2002;18(Suppl 1):1–8.

    PubMed  Google Scholar 

  63. Fanelli GC. The Cascade System in Knee Ligament Reconstruction. Surgical Technique Manual. Edison, NJ: Musculoskeletal Transplant Foundation, 2005.

    Google Scholar 

  64. Fanelli GC. Posterior cruciate ligament reconstruction. Presented at: AOSSM Specialty Day 2007. American Academy of Orthopaedic Surgeons Annual Meeting; February 17, 2007; San Diego, CA.

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Geisinger Clinic, Danville, Pennsylvania

    Gregory C. Fanelli

  2. Department of Orthopaedic Surgery, Geisinger Clinic, Danville, PA

    Craig Edson MS,PT,ATC, Kristin N. Reinheimer & Daniel J. Tomaszewski MD

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  1. Gregory C. Fanelli
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  2. Craig Edson MS,PT,ATC
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  3. Kristin N. Reinheimer
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  4. Daniel J. Tomaszewski MD
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    Fanelli, G.C., Edson, C., Reinheimer, K.N., Tomaszewski, D.J. (2009). Posterior Cruciate Ligament and Posterolateral Corner Reconstruction. In: Richmond, J., Bono, J., McKeon, B. (eds) Knee Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89504-8_9

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    • DOI: https://doi.org/10.1007/978-0-387-89504-8_9

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