title: Current concepts in knee dislocations: PCL, ACL, and medial sided injuries.
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.
authors.affiliation: Department of Orthopaedic Surgery, University of Missouri Hospital, Columbia, MO 65212, USA. stannardj@health.missouri.edu
authors.forename: James P
authors.initials: JP
authors.lastname: Stannard
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Bauer
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D006801:Humans; D015601:Injury Severity Score; D031221:Knee Dislocation / Q000175:diagnosis* / Q000534:rehabilitation / Q000601:surgery*; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery; D017888:Medial Collateral Ligament, Knee / Q000293:injuries / Q000601:surgery*; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D016119:Posterior Cruciate Ligament / Q000293:injuries / Q000601:surgery*; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome