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Advances in Posterior Cruciate Ligament Reconstruction Seen

Last Updated: July 07, 2009.

Although major advances have been made in the surgical treatment of posterior cruciate ligament tears, the optimal technique has yet to be identified, according to a review article published in the July issue of the Journal of the American Academy of Orthopaedic Surgeons.

TUESDAY, July 7 (HealthDay News) -- Although major advances have been made in the surgical treatment of posterior cruciate ligament tears, the optimal technique has yet to be identified, according to a review article published in the July issue of the Journal of the American Academy of Orthopaedic Surgeons.

Matthew J. Matava, M.D., of Washington University School of Medicine in St. Louis, and colleagues cited research suggesting that the inlay technique of tibial fixation offers biomechanical advantages compared to traditional tunnel fixation, and that using one instead of two reconstructive graft bundles is associated with better outcomes. They also presented advances in the location of the femoral tunnels and determination of the ideal degree of graft tensioning.

However, the authors note that research has produced conflicting conclusions and has not yet answered important questions about issues such as optimal tunnel positioning, graft type, and graft tension.

"Only with well-designed, long-term, randomized controlled trials that take into account patient comorbidities and activity levels will it be possible to identify the ideal surgical technique for posterior cruciate ligament reconstruction," Matava and colleagues conclude.

An author of this review reported a financial relationship with the pharmaceutical industry.

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