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? (3/5)

Video Transcription

Video Summary

In this video, Michael Lea from NYU discusses primary PCL (posterior cruciate ligament) reconstruction and the challenges associated with it. He mentions that the indications for surgery include bony avulsion fractures, ligamentous injuries, grade three laxity, chronic symptomatic PCL injuries, medial pain or patellofemoral pain with cartilage loss and instability. Lea highlights that PCL surgery can still result in residual instability despite a well-done reconstruction. He explores potential reasons for this, such as different failure mechanisms for PCL compared to ACL (anterior cruciate ligament) and the effects of gravity and the hamstrings. The video touches on techniques for PCL reconstruction, including anatomy considerations, single vs double bundle techniques, and graft choices. Lea also briefly discusses the all-inside technique and internal bracing. The video concludes with surgical considerations and tips for PCL reconstruction. (Transcript summarization by anonymous AI assistant)

Asset Caption

Michael Alaia, MD

Keywords

PCL reconstruction

posterior cruciate ligament

surgery indications

residual instability

techniques for PCL reconstruction