Posterior cruciate ligament: anatomy, biomechanics, and outcomes. Review uri icon

Overview

abstract

  • The optimal treatment of posterior cruciate ligament ruptures remains controversial despite numerous recent basic science advances on the topic. The current literature on the anatomy, biomechanics, and clinical outcomes of posterior cruciate ligament reconstruction is reviewed. Recent studies have quantified the anatomic location and biomechanical contribution of each of the 2 posterior cruciate ligament bundles on tunnel placement and knee kinematics during reconstruction. Additional laboratory and cadaveric studies have suggested double-bundle reconstructions of the posterior cruciate ligament may better restore normal knee kinematics than single-bundle reconstructions although clinical outcomes have not revealed such a difference. Tibial inlay posterior cruciate ligament reconstructions (either open or arthroscopic) are preferred by many authors to avoid the "killer turn" and graft laxity with cyclic loading. Posterior cruciate ligament reconstruction improves subjective patient outcomes and return to sport although stability and knee kinematics may not return to normal.

publication date

  • July 29, 2011

Research

keywords

  • Knee Injuries
  • Plastic Surgery Procedures
  • Posterior Cruciate Ligament
  • Reconstructive Surgical Procedures

Identity

Scopus Document Identifier

  • 84855444634

Digital Object Identifier (DOI)

  • 10.1177/0363546511416316

PubMed ID

  • 21803977

Additional Document Info

volume

  • 40

issue

  • 1