Nonanatomic Posteromedial Bundle Augmentation of the Posterior Cruciate Ligament after Hyperextension Trauma

Maximiliano Ibañez; Jérôme Valcarenghi; Felix Hoffmann; Caroline Mouton; Charles Pioger; Renaud Siboni; Joan Carles Monllau; Romain Seil

doi:10.1016/j.eats.2024.103013

Nonanatomic Posteromedial Bundle Augmentation of the Posterior Cruciate Ligament after Hyperextension Trauma

Maximiliano Ibañez, Jérôme Valcarenghi, Felix Hoffmann, Caroline Mouton, Charles Pioger, Renaud Siboni, Joan Carles Monllau, Romain Seil^*

^*Corresponding author for this work

Human Motion, Orthopaedics, Sports Medicine and Digital Methods

Research output: Contribution to journal › Article › Research › peer-review

1 Citation (Scopus)

Abstract

The surgical management of posterior cruciate ligament (PCL) injuries can be challenging. As most PCL injuries occur in a flexed knee position, the anterolateral bundle is thought to be more commonly injured than the posteromedial bundle (PMB); however, in hyperextension, the PMB plays a more significant role. The smaller size of the PMB compared with the anterolateral bundle and its lower strength may explain why isolated hyperextension PMB injuries can be easily overlooked. In this Technical Note, a surgical technique to perform a nonanatomic PMB augmentation of the PCL using a gracilis tendon autograft or allograft is reported. These technical features aim to overcome current limitations in existing techniques to address the symptoms after partial PCL hyperextension injuries.

Original language	English
Article number	103013
Journal	Arthroscopy Techniques
Volume	13
Issue number	8
DOIs	https://doi.org/10.1016/j.eats.2024.103013
Publication status	Published - Aug 2024

Access to Document

10.1016/j.eats.2024.103013Licence: CC BY-NC-ND

Cite this

@article{47f3f5e710bd42d19f01cb991e929cf2,

title = "Nonanatomic Posteromedial Bundle Augmentation of the Posterior Cruciate Ligament after Hyperextension Trauma",

abstract = "The surgical management of posterior cruciate ligament (PCL) injuries can be challenging. As most PCL injuries occur in a flexed knee position, the anterolateral bundle is thought to be more commonly injured than the posteromedial bundle (PMB); however, in hyperextension, the PMB plays a more significant role. The smaller size of the PMB compared with the anterolateral bundle and its lower strength may explain why isolated hyperextension PMB injuries can be easily overlooked. In this Technical Note, a surgical technique to perform a nonanatomic PMB augmentation of the PCL using a gracilis tendon autograft or allograft is reported. These technical features aim to overcome current limitations in existing techniques to address the symptoms after partial PCL hyperextension injuries.",

author = "Maximiliano Iba{\~n}ez and J{\'e}r{\^o}me Valcarenghi and Felix Hoffmann and Caroline Mouton and Charles Pioger and Renaud Siboni and Monllau, {Joan Carles} and Romain Seil",

note = "Publisher Copyright: {\textcopyright} 2024 The Authors",

year = "2024",

month = aug,

doi = "10.1016/j.eats.2024.103013",

language = "English",

volume = "13",

journal = "Arthroscopy Techniques",

issn = "2212-6287",

publisher = "Elsevier Inc.",

number = "8",

}

TY - JOUR

T1 - Nonanatomic Posteromedial Bundle Augmentation of the Posterior Cruciate Ligament after Hyperextension Trauma

AU - Ibañez, Maximiliano

AU - Valcarenghi, Jérôme

AU - Hoffmann, Felix

AU - Mouton, Caroline

AU - Pioger, Charles

AU - Siboni, Renaud

AU - Monllau, Joan Carles

AU - Seil, Romain

PY - 2024/8

Y1 - 2024/8

N2 - The surgical management of posterior cruciate ligament (PCL) injuries can be challenging. As most PCL injuries occur in a flexed knee position, the anterolateral bundle is thought to be more commonly injured than the posteromedial bundle (PMB); however, in hyperextension, the PMB plays a more significant role. The smaller size of the PMB compared with the anterolateral bundle and its lower strength may explain why isolated hyperextension PMB injuries can be easily overlooked. In this Technical Note, a surgical technique to perform a nonanatomic PMB augmentation of the PCL using a gracilis tendon autograft or allograft is reported. These technical features aim to overcome current limitations in existing techniques to address the symptoms after partial PCL hyperextension injuries.

AB - The surgical management of posterior cruciate ligament (PCL) injuries can be challenging. As most PCL injuries occur in a flexed knee position, the anterolateral bundle is thought to be more commonly injured than the posteromedial bundle (PMB); however, in hyperextension, the PMB plays a more significant role. The smaller size of the PMB compared with the anterolateral bundle and its lower strength may explain why isolated hyperextension PMB injuries can be easily overlooked. In this Technical Note, a surgical technique to perform a nonanatomic PMB augmentation of the PCL using a gracilis tendon autograft or allograft is reported. These technical features aim to overcome current limitations in existing techniques to address the symptoms after partial PCL hyperextension injuries.

UR - http://www.scopus.com/inward/record.url?scp=85191337936&partnerID=8YFLogxK

U2 - 10.1016/j.eats.2024.103013

DO - 10.1016/j.eats.2024.103013

M3 - Article

C2 - 39233795

AN - SCOPUS:85191337936

SN - 2212-6287

VL - 13

JO - Arthroscopy Techniques

JF - Arthroscopy Techniques

IS - 8

M1 - 103013

ER -

Nonanatomic Posteromedial Bundle Augmentation of the Posterior Cruciate Ligament after Hyperextension Trauma

Abstract

Access to Document

Other files and links

Fingerprint

Cite this