IC 208-2022: Contemporary Surgical Management of Posterior Cruciate Ligament Injuries - Why, When, and How?-Contemporary Surgical Management of Posterior Cruciate Ligament Injuries

Contemporary Surgical Management of Posterior Cruciate Ligament Injuries - Why, When, and How? (2/5)

Video Transcription

Video Summary

The video transcript discusses PCL (posterior cruciate ligament) management in multiligament knee injuries. The speaker gives credit to their colleagues at the University of New Mexico and their fellowship mentor, Mark Miller. They emphasize the importance of evaluating vascular exams and recognizing the difference between multiligament knee injuries and knee dislocations. They mention a study that highlights a higher rate of vascular injury in patients with knee dislocations. The speaker recommends establishing a knee dislocation protocol and actively seeking these cases for timely management. They discuss different surgical approaches, the need for an exam under anesthesia, and the importance of graph preparation. The speaker also mentions the value of a double bundle PCL reconstruction, the Fennelli safety incision, and the proper order of drilling tunnels. They highlight the benefits of a dual surgeon approach and discuss the sequence of graft tensioning. The speaker concludes by emphasizing the need to be flexible, practice in the lab, manage patient expectations, and perform a final radiographic check before leaving the operating room. The overall focus is on improving operative efficiency and patient outcomes in the management of multiligament knee injuries.

Asset Caption

Dustin Richter, MD

Keywords

PCL management

multiligament knee injuries

vascular exams

knee dislocations

surgical approaches