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Skeletal Radiology

, Volume 43, Issue 12, pp 1659–1668 | Cite as

Imaging of posterior cruciate ligament (PCL) reconstruction: normal postsurgical appearance and complications

  • Andrea Alcalá-Galiano
  • María Baeva
  • Maryem Ismael
  • María José Argüeso
Review Article

Abstract

This article reviews the normal postsurgical anatomy and appearance of PCL reconstructions on MDCT and MRI with the different operative techniques considering the type of tibial fixation, use of a single or double bundle, type of tendon graft and the fixation material. Tunnel positioning, appearance of the ligament graft and findings at the donor site are considered. Imaging signs of PCL graft failure and its possible causes are discussed. Imaging manifestations of other potential complications of both the PCL graft and donor sites are described, such as laxity, impingement, arthrofibrosis, ganglion cyst formation or complications related to the fixation material.

Keywords

Posterior cruciate ligament reconstruction Ligament plasty Postsurgical imaging Postsurgical complications Knee 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Sanders TG. MR imaging of postoperative ligaments of the knee. Semin Musculoskelet Radiol. 2002;6(1):19–33.PubMedCrossRefGoogle Scholar
  2. 2.
    Sherman PM, Sanders TG, Morrison WB, Schweitzer ME, Leis HT, Nusser CA. MR imaging of the posterior cruciate ligament graft: initial experience in 15 patients with clinical correlation. Radiology. 2001;221(1):191–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Voos JE, Mauro CS, Wente T, Warren RF, Wickiewicz TL. Posterior cruciate ligament. Anatomy, biomechanics and outcomes. Am J Sports Med. 2012;40(1):222–31.PubMedCrossRefGoogle Scholar
  4. 4.
    Yoon YC, Chung HW, Ahn JH. MR imaging of stable posterior cruciate ligament grafts in 21 arthroscopically proven cases. Korean J Radiol. 2007;8:403–9.PubMedCrossRefPubMedCentralGoogle Scholar
  5. 5.
    Noyes FR, Barber-Westin SD. Posterior cruciate ligament revision reconstruction, part 1: causes of surgical failure in 52 consecutive operations. Am J Sports Med. 2005;33(5):646–54.PubMedCrossRefGoogle Scholar
  6. 6.
    Manaster BJ, Remley K, Newman AP, Mann FA. Knee ligament reconstruction: plain film analysis. AJR. 1988;150:337–42.PubMedCrossRefGoogle Scholar
  7. 7.
    Gancel E, Magnussen RA, Lustig S, Demey G, Neyret P, Servien E. Tunnel position following posterior cruciate ligament reconstruction: an in vivo computed tomography analysis. Knee. 2011. doi: 10.1016/j.knee.2011.04.003.PubMedGoogle Scholar
  8. 8.
    Mariani PP, Adriani E, Belleli A, Maresca G. Magnetic resonance imaging of tunnel placement in posterior cruciate ligament reconstruction. Arthroscopy. 1999;15(7):733–40.PubMedCrossRefGoogle Scholar
  9. 9.
    Otero F, Fernández Lopera JF. Reconstrucción interarticular simultánea: LCA doble haz más LCP doble haz. Descripción de técnica quirúrgica. Rev Colomb de Ortop y Traumatología. 2007;21:257–65.Google Scholar
  10. 10.
    Cerezal Pesquera L, Acosta Batllé J, Canga Villegas A. Radiología esencial. Tomo 1. Madrid: Médica Panamericana. Radiología posquirúrgica del aparato locomotor; 2009. p. 927–928.Google Scholar
  11. 11.
    Noyes FR, Barber-Westin SD. Posterior cruciate ligament revision reconstruction, part 2: results of revision using a 2-strand quadriceps tendon-patellar bone autograft. Am J Sports Med. 2005;33(5):655–65.PubMedCrossRefGoogle Scholar
  12. 12.
    Berquist TH. Imaging of orthopedic fixation devices & prosthesis. Philadelphia: Lippincott, Williams & Wilkins. Chapter 6: The Knee. 2009. p. 278–291.Google Scholar
  13. 13.
    Buess E, Imhoff A, Hodler J. Knee evaluation in two systems and magnetic resonance imaging after operative treatment of posterior cruciate ligament injuries. Arch Ortop Trauma Surg. 1996;115:307–12.CrossRefGoogle Scholar

Copyright information

© ISS 2014

Authors and Affiliations

  • Andrea Alcalá-Galiano
    • 1
  • María Baeva
    • 1
  • Maryem Ismael
    • 2
  • María José Argüeso
    • 1
  1. 1.Department of RadiologyHospital ASEPEYO CosladaMadridSpain
  2. 2.Department of Traumatology & Orthopaedic SurgeryHospital ASEPEYO CosladaMadridSpain

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