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PCL Based Multiple Ligament Knee Injuries: What I Have Learned in 28 Years

  • Gregory C. FanelliEmail author
Chapter

Abstract

This chapter is a compilation of my experience treating multiple ligament knee injuries over the past twenty eight years. Departing from the style of most text books, this chapter is written in the first person, and is intended to be a conversation between the reader and myself about one of the most complex and interesting topics in orthopaedic surgery; the multiple ligament injured knee. The goal of this chapter is to maximize success, avoid complications, and help the surgeon stay out of trouble treating these complex and difficult cases. This chapter is organized to present brief sections of information that will help the orthopaedic surgeon and other health care professionals to make treatment decisions in multiple ligament knee injury cases. Topics addressed include injury incidence, anatomy, vascular assessment, external fixation, surgical timing, repair and/or reconstruction, graft preparation, arthroscopic or open surgical procedures, surgical technique highlights, mechanical graft tensioning, postoperative rehabilitation, multiple ligament knee injuries in patients under 18 years of age, total knee replacement following multiple ligament knee reconstruction, and results of treatment. Specific surgical procedures are discussed in various chapters throughout this text book.

Keywords

Knee dislocation Posterior cruciate ligament Allograft Mechanical graft tensioning Multiple ligament injured knee Posterolateral instability Posteromedial instability Knee dislocation outcomes/results 

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Recommended Readings

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    Fanelli GC, editor. Posterior cruciate ligament injuries: a practical guide to management. New York: Springer; 2001.Google Scholar
  2. 2.
    Fanelli GC, editor. The multiple ligament injured knee. A practical guide to management. New York: Springer; 2004.Google Scholar
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    Fanelli GC, editor. The multiple ligament injured knee. A practical guide to management, 2nd ed. New York: Springer; 2013.Google Scholar
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    Fanelli GC, editor. Posterior cruciate ligament injuries: a practical guide to management, 2nd ed. New York: Springer; 2015.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryGeisinger Medical Center/Health System DanvilleUSA

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