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Combined PCL, Posteromedial Corner, and Posterolateral Corner Reconstruction

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Book cover Posterior Cruciate Ligament Injuries

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Abstract

Knee dislocations can be significant injuries that may result in damage to multiple ligaments that require a complex approach to management and treatment. The multiple-ligament-injured knee may have other associated injuries and may require multiple surgeries as part of the treatment regimen. Injuries to the posterior cruciate ligament (PCL), posteromedial corner (PMC), and posterolateral corner (PLC), particularly when combined together, can lead to a high degree of instability and require extensive surgical management. Numerous treatment methods and techniques have been described for the management of these combined types of injuries, ranging from external fixation, acute ligamentous repair, staged reconstructions, or simultaneous reconstructions. Multiple decisions must be made regarding timing of surgery, reconstructive technique, and graft type. Controversies exist regarding differing surgical techniques, but a reliable reconstruction of the PMC and PLC are critical to the overall stability of the knee. When managing associated bicruciate injuries, a combined PCL, PMC, and PLC reconstruction has been shown to have success in restoring ligament stability prior to ACL reconstruction. A detailed preoperative plan and surgical approach lead to a successful outcome in the treatment of a combined PCL, PMC, and PLC injury.

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Author information

Authors and Affiliations

  1. Orthopaedics, University of Missouri-Columbia, Columbia, MO, USA

    Clayton W. Nuelle MD

  2. Missouri Orthopaedic Institute, Department of Orthopaedic Surgery, University of Missouri, 65212, Columbia, MO, USA

    James P. Stannard MD

Authors
  1. Clayton W. Nuelle MD
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  2. James P. Stannard MD
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Corresponding author

Correspondence to James P. Stannard MD .

Editor information

Editors and Affiliations

  1. GHS Orthopaedics, Danville, Pennsylvania, USA

    Gregory C. Fanelli, MD

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Nuelle, C., Stannard, J. (2015). Combined PCL, Posteromedial Corner, and Posterolateral Corner Reconstruction. In: Fanelli, MD, G. (eds) Posterior Cruciate Ligament Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-12072-0_18

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  • DOI: https://doi.org/10.1007/978-3-319-12072-0_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-12071-3

  • Online ISBN: 978-3-319-12072-0

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