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Document Title: Calabrese-EKLR-Ch13-2000.shtml
Article Title: Posterior Cruciate Ligament Reconstruction and Rehabilitation
Author: Gary J. Calabrese, PT, and John A. Bergfeld, MD
Publication: Knee Ligament Rehabilitation, edited by Todd Ellenbecker (published by Churchill Livingstone, 2000), Chapter 19, pages 186-193
Date: 2000
Keywords: PCL injury, PCL reconstruction, posterior cruciate ligament.
(Reference-denoting numbers appear in the same font and point size as the document text. As with all Knee Library documents, this article is provided in full-text form, complete with all figures and tables.)
Comments: This article describes the importance of the PCL, and notes how the PCL interacts with the ACL in limiting knee extension and enabling the knee to lock for standing. Also discussed is surgical reconstruction of the PCL. This article delves into single-bundle reconstruction techniques, but does not mention the new standard of dual-bundle PCL recon. However, many surgeons still perform single-bundle PCL reconstructions, and in fact, many surgeons still do not even do PCL reconstructions at all. (For insight into the benefits and procedural aspects of dual-bundle PCL reconstruction, the following articles are very helpful: Noyes-JBJS-Jun05.shtml and Noyes-AJSM-May05b.shtml.) This chapter nicely describes the implications regarding anterior-posterior shearing forces generated by open-kinetic-chain exercises and closed-kinetic-chain exercises. A sound rehabilitation protocol will include both varieties of exercises at the appropriate stages.
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