Study of the Approach to Treatment of Combined Ligament Injury Involving Posterior Cruciate Ligament of the Knee

  • Fukao Yu
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Yamamoto Keitaro
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Yano Hiroaki
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Kawahara Katsuhiro
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Ishida Yasuyuki
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Tajima Takuya
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Yamaguchi Nami
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Sakihama Tomomi
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Yamaguchi Shihoko
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
  • Chosa Etsuo
    Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

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Other Title
  • 膝複合靱帯損傷例における後十字靱帯治療法の検討

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The combined ligament injury of the knee is caused by traffic accidents and high-energy-sports etc., and often the choice of treatment for combined ligament injuries involving the posterior cruciate ligament of the knee is difficult. Posterior cruciate ligament injury is usually treated by conservative management, but recently combined ligament injuries involving the posterior cruciate ligament are treated by the surgery as that for other ligament injuries of the knee. Five knees treated by combined ligament reconstruction involving the posterior cruciate ligament between June 2005 and July 2008 are reported with bibliographical consideration.<BR>Two cases were injured by judo, and the other three cases were injured by skiing, traffic accident and falling respectively. All cases are male. Their mean ago was 29.0 years old (range: 17 to 42). Two cases injured PCL+ACL+MCL, and the other three cases injured PCL+ACL, PCL+MCL and PCL+LCL. These cases were treated by combined ligament reconstruction and repair. PCL was reconstructed with autogenic hamstring in all cases. The indication, method of reconstructions and postoperative results are discussed.

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