J Knee Surg 2012; 25(04): 287-294
DOI: 10.1055/s-0032-1326998
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Concepts in Knee Dislocations: PCL, ACL, and Medial Sided Injuries

James P. Stannard
1   Department of Orthopedic Surgery, University of Missouri Hospital, Columbia, Missouri
,
Kathryn L. Bauer
1   Department of Orthopedic Surgery, University of Missouri Hospital, Columbia, Missouri
› Author Affiliations
Further Information

Publication History

02 July 2012

22 July 2012

Publication Date:
20 September 2012 (online)

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Abstract

Dislocations resulting in multiligament knee injuries are challenging to treat and diagnose. With proper diagnosis and anatomic reconstruction techniques, patients can have successful outcomes. This article describes the senior author's (J.P.S.'s) preferred reconstruction techniques, timing for surgery, and rehabilitation techniques for injuries involving the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), and posteromedial corner (PMC). We prefer to address these injuries in a staged fashion. The PCL, PMC, and any additional meniscal pathology are addressed in the index procedure. The ACL is reconstructed approximately 6 weeks later to ensure that acceptable range of motion has been regained. Staging procedures also allow time to maximize rehabilitation protocols for both the PCL and the ACL.