Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability

Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely t...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Christel, Pascal [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2003

Schlagwörter:	Posterior Cruciate Ligament Femoral Tunnel Tibial Tunnel Tibial Slope Posterior Cruciate Ligament Reconstruction

Anmerkung:	© Springer-Verlag 2003

Übergeordnetes Werk:	Enthalten in: Knee surgery, sports traumatology, arthroscopy - Berlin : Springer, 1993, 11(2003), 5 vom: Sept., Seite 289-296
Übergeordnetes Werk:	volume:11 ; year:2003 ; number:5 ; month:09 ; pages:289-296

Links:	Volltext

DOI / URN:	10.1007/s00167-003-0407-2

Katalog-ID:	SPR001361767

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520			\|a Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment.
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publishDate	2003
allfields	10.1007/s00167-003-0407-2 doi (DE-627)SPR001361767 (SPR)s00167-003-0407-2-e DE-627 ger DE-627 rakwb eng Christel, Pascal verfasserin aut Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability 2003 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2003 Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. Posterior Cruciate Ligament (dpeaa)DE-He213 Femoral Tunnel (dpeaa)DE-He213 Tibial Tunnel (dpeaa)DE-He213 Tibial Slope (dpeaa)DE-He213 Posterior Cruciate Ligament Reconstruction (dpeaa)DE-He213 Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 11(2003), 5 vom: Sept., Seite 289-296 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:11 year:2003 number:5 month:09 pages:289-296 https://dx.doi.org/10.1007/s00167-003-0407-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 11 2003 5 09 289-296
spelling	10.1007/s00167-003-0407-2 doi (DE-627)SPR001361767 (SPR)s00167-003-0407-2-e DE-627 ger DE-627 rakwb eng Christel, Pascal verfasserin aut Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability 2003 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2003 Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. Posterior Cruciate Ligament (dpeaa)DE-He213 Femoral Tunnel (dpeaa)DE-He213 Tibial Tunnel (dpeaa)DE-He213 Tibial Slope (dpeaa)DE-He213 Posterior Cruciate Ligament Reconstruction (dpeaa)DE-He213 Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 11(2003), 5 vom: Sept., Seite 289-296 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:11 year:2003 number:5 month:09 pages:289-296 https://dx.doi.org/10.1007/s00167-003-0407-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 11 2003 5 09 289-296
allfields_unstemmed	10.1007/s00167-003-0407-2 doi (DE-627)SPR001361767 (SPR)s00167-003-0407-2-e DE-627 ger DE-627 rakwb eng Christel, Pascal verfasserin aut Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability 2003 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2003 Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. Posterior Cruciate Ligament (dpeaa)DE-He213 Femoral Tunnel (dpeaa)DE-He213 Tibial Tunnel (dpeaa)DE-He213 Tibial Slope (dpeaa)DE-He213 Posterior Cruciate Ligament Reconstruction (dpeaa)DE-He213 Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 11(2003), 5 vom: Sept., Seite 289-296 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:11 year:2003 number:5 month:09 pages:289-296 https://dx.doi.org/10.1007/s00167-003-0407-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 11 2003 5 09 289-296
allfieldsGer	10.1007/s00167-003-0407-2 doi (DE-627)SPR001361767 (SPR)s00167-003-0407-2-e DE-627 ger DE-627 rakwb eng Christel, Pascal verfasserin aut Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability 2003 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2003 Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. Posterior Cruciate Ligament (dpeaa)DE-He213 Femoral Tunnel (dpeaa)DE-He213 Tibial Tunnel (dpeaa)DE-He213 Tibial Slope (dpeaa)DE-He213 Posterior Cruciate Ligament Reconstruction (dpeaa)DE-He213 Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 11(2003), 5 vom: Sept., Seite 289-296 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:11 year:2003 number:5 month:09 pages:289-296 https://dx.doi.org/10.1007/s00167-003-0407-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 11 2003 5 09 289-296
allfieldsSound	10.1007/s00167-003-0407-2 doi (DE-627)SPR001361767 (SPR)s00167-003-0407-2-e DE-627 ger DE-627 rakwb eng Christel, Pascal verfasserin aut Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability 2003 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2003 Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. Posterior Cruciate Ligament (dpeaa)DE-He213 Femoral Tunnel (dpeaa)DE-He213 Tibial Tunnel (dpeaa)DE-He213 Tibial Slope (dpeaa)DE-He213 Posterior Cruciate Ligament Reconstruction (dpeaa)DE-He213 Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 11(2003), 5 vom: Sept., Seite 289-296 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:11 year:2003 number:5 month:09 pages:289-296 https://dx.doi.org/10.1007/s00167-003-0407-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 11 2003 5 09 289-296
language	English
source	Enthalten in Knee surgery, sports traumatology, arthroscopy 11(2003), 5 vom: Sept., Seite 289-296 volume:11 year:2003 number:5 month:09 pages:289-296
sourceStr	Enthalten in Knee surgery, sports traumatology, arthroscopy 11(2003), 5 vom: Sept., Seite 289-296 volume:11 year:2003 number:5 month:09 pages:289-296
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Posterior Cruciate Ligament Femoral Tunnel Tibial Tunnel Tibial Slope Posterior Cruciate Ligament Reconstruction
isfreeaccess_bool	false
container_title	Knee surgery, sports traumatology, arthroscopy
authorswithroles_txt_mv	Christel, Pascal @@aut@@
publishDateDaySort_date	2003-09-01T00:00:00Z
hierarchy_top_id	268761787
id	SPR001361767
language_de	englisch
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author	Christel, Pascal
spellingShingle	Christel, Pascal misc Posterior Cruciate Ligament misc Femoral Tunnel misc Tibial Tunnel misc Tibial Slope misc Posterior Cruciate Ligament Reconstruction Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability
authorStr	Christel, Pascal
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topic_title	Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability Posterior Cruciate Ligament (dpeaa)DE-He213 Femoral Tunnel (dpeaa)DE-He213 Tibial Tunnel (dpeaa)DE-He213 Tibial Slope (dpeaa)DE-He213 Posterior Cruciate Ligament Reconstruction (dpeaa)DE-He213
topic	misc Posterior Cruciate Ligament misc Femoral Tunnel misc Tibial Tunnel misc Tibial Slope misc Posterior Cruciate Ligament Reconstruction
topic_unstemmed	misc Posterior Cruciate Ligament misc Femoral Tunnel misc Tibial Tunnel misc Tibial Slope misc Posterior Cruciate Ligament Reconstruction
topic_browse	misc Posterior Cruciate Ligament misc Femoral Tunnel misc Tibial Tunnel misc Tibial Slope misc Posterior Cruciate Ligament Reconstruction
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title	Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability
ctrlnum	(DE-627)SPR001361767 (SPR)s00167-003-0407-2-e
title_full	Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability
author_sort	Christel, Pascal
journal	Knee surgery, sports traumatology, arthroscopy
journalStr	Knee surgery, sports traumatology, arthroscopy
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doi_str_mv	10.1007/s00167-003-0407-2
title_sort	basic principles for surgical reconstruction of the pcl in chronic posterior knee instability
title_auth	Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability
abstract	Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. © Springer-Verlag 2003
abstractGer	Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. © Springer-Verlag 2003
abstract_unstemmed	Abstract This article describes the various options which are available for posterior cruciate ligament (PCL) reconstruction in a chronic situation. On the femoral side, one- or two-bundle grafts may be used. In laboratory conditions, 2-bundle reconstruction makes it possible to mimic more closely the biomechanics of the native PCL. However, until now there is no clear-cut clinical evidence that 2-bundle reconstruction leads to a better outcome than the 1-bundle one. On the tibial side, either a tunnel or an inlay technique can be used. The advantages and drawbacks of both techniques are still subject to debate. The results of the laboratory tests are currently in favour of the inlay fixation; however, again, the clinical issue remains to be established. In any case, proper PCL graft positioning is the key issue for a successful reconstruction. Finally, in combined posterior and postero-lateral instabilities it is necessary to correct all the components of the instability and to perform a high tibial valgus osteotomy in the case of varus alignment. © Springer-Verlag 2003
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container_issue	5
title_short	Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability
url	https://dx.doi.org/10.1007/s00167-003-0407-2
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doi_str	10.1007/s00167-003-0407-2
up_date	2024-07-03T22:02:52.591Z
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Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability

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