Anatomi:

 

 

 

 

 

Klinisk klassikation:

 

 

 

Side forskel / Telos måling:

Grad 1< 8-10 mm partial læsion : konservativ

Grad 2: 10-12 mm: isoloereret total læsion af PCL, operation kan komme på tale.

Grad 3: > 12 mm PCL med PLC eller PMC skader.

 

Partial / isolereret total ruptur , grad 1-2, kan behandles konserativ, grundet øget intrinisk helling.

forløbende fiber  på mr,

Under 10 mm PTT. 

 

Konservativ behandling:

Undgå bagud træk: eg undgå hamstering træning + PCL brace i 4 måneder.

Fysioterapi med fokus på quadriceps.

RTP: 7-8 måneder ca.

 

Operativt behandling:

Grad 3 + 

graf valg:

semi-T autograft, peoneus longus, tibialis ant. BTB-P

allograft achilleseene

Kan evt. fortages augmentation med Fibertape.

 

tenik:

Åbent / lukket

Transtibial / tibial inlay

Single / dobbelt bundle.

all-side / out-side in.

 

 

 

 

LaPrade metode og (modified) Larsson: er det mest hyppige.

 


Single-Bundle and Double-Bundle Posterior Cruciate Ligament Reconstructions: A Systematic Review and Meta-analysis of 441 Patients at a Minimum 2 Years’ Follow-up. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 33, No 11 (November), 2017: pp 2066-2080

 

Nonoperative treatment of isolated PCL injuries results in good subjective outcomes and high rate of return to sport:

Nonoperative Treatment of PCL Injuries: Goals of Rehabilitation and the Natural History of Conservative Care. Current Reviews in Musculoskeletal Medicine volume 11, pages290–297(2018)

Acute PCL avulsion injuries with displacement of less than 6.7 mm should be considered for non-operative treatment:

The amount of displacement can determine non-operative treatment in posterior cruciate ligament avulsion fracture. Knee Surgery, Sports Traumatology, Arthroscopy volume 29, pages1269–1275(2021)