ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Different injury patterns exist among patients undergoing operative treatment of isolated PCL, combined PCL/ACL, and isolated ACL injuries: a study from the Swedish National Knee Ligament Registry.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Good clinical and radiological results following remnant-preserving posterior cruciate ligament reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- "3D" Techniques for Improving Safety in Posterior Knee Arthroscopy During Posterior Cruciate Ligament Avulsion Fracture Fixation: A Series of Key Technical Modifications.Arthroscopy techniques · 2026Article
- The empty roof sign: A new indirect magnetic resonance imaging sign of posterior cruciate ligament injury.Journal of experimental orthopaedics · 2026Article
- Operative and non-operative management can result in acceptable long-term outcomes for isolated posterior cruciate ligament injuries in paediatric patients.Journal of experimental orthopaedics · 2025Article
- Distinct patterns of ligament and meniscal injuries in multiligamentous knee injuries with and without dislocation: a 15-year retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Evaluation of Factors Associated With Short-term Failure After Primary Isolated PCL Reconstruction: A Study of Patients From the Swedish and Norwegian Knee Ligament Registries.Orthopaedic journal of sports medicine · 2025Article
- Timing of Surgery & Rehabilitation After Multiligamentous Knee Reconstruction.Current reviews in musculoskeletal medicine · 2024Review
- Outcomes of Surgical Treatment for Multiligament Knee Injuries in a Cohort Including Competitive Athletes With Long-Term Follow-Up.Orthopaedic journal of sports medicine · 2024Article
- Nonanatomic Posteromedial Bundle Augmentation of the Posterior Cruciate Ligament after Hyperextension Trauma.Arthroscopy techniques · 2024Article
- Injuries of the posteromedial bundle of the posterior cruciate ligament after knee hyperextension trauma: A new clinical entity based on an original case series.Journal of experimental orthopaedics · 2024Article
- Epidemiology and distribution of cruciate ligament injuries in children and adolescents, with an analysis of risk factors for concomitant meniscal tear.Frontiers in pediatrics · 2024Article
- Delayed multiligament PCL reconstruction is associated with a higher prevalence of intraarticular injury and may influence treatment.BMC musculoskeletal disorders · 2023Article
- Sports activity and quality of life improve after isolated ACL, isolated PCL, and combined ACL/PCL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Observational
- Different patient and activity-related characteristics result in different injury profiles for patients with anterior cruciate ligament and posterior cruciate ligament injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Standardized Rehabilitation or Individual Approach?-A Retrospective Analysis of Early Rehabilitation Protocols after Isolated Posterior Cruciate Ligament Reconstruction.Journal of personalized medicine · 2022Article
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Authors and funding
9 authors at 4 institutions in 3 countries.
Funding
Abstract
purposeTo compare demographic characteristics and concomitant injury patterns in patients undergoing primary isolated posterior cruciate ligament reconstruction (PCL-R) and combined posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) reconstruction (PCL-R/ACL-R) with isolated ACL reconstruction (ACL-R) as a reference using data from the Swedish National Knee Ligament Registry (SNKLR).
methodsThis cohort study based on the SNKLR comprised patients undergoing either PCL-R, ACL-R, or combined PCL-R/ACL-R between January 1, 2005 and December 31, 2019 in Sweden. Demographic and surgery-related data with regards to injury mechanism, concomitant intraarticular lesions and their treatment, neurovascular damage, and concomitant ligamentous injuries were extracted. Exclusion criteria included concomitant fractures of the femur, fibula, patella or tibia, and quadriceps or patellar tendon injury.
resultsA total of 45,564 patients were included in this study. Isolated PCL-R, combined PCL-R/ACL-R, and isolated ACL-R were performed in 192 (0.4%), 203 (0.5%) and 45,169 (99.1%) patients, respectively. Sports were identified as the cause of 64% of PCL-Rs, 54% of PCL-R/ACL-Rs, and 89% of ACL-Rs, while a traffic-related mechanism was identified in 20% of PCL-Rs, 27% of PCL-R/ACL-Rs and 2% of ACL-Rs. Meniscus injury prevalence was 45% in ACL-Rs, 31% in PCL-R/ACL-Rs and 16% in isolated PCL-Rs (p < 0.001). Cartilage injuries were more common in PCL-R (37%) and PCL-R/ACL-R patients (40%) compared to ACL-R patients (26%, p < 0.001). Concomitant knee ligament injury was identified in 28-44% of PCL-R/ACL-R patients. Neurovascular injuries were present in 9% of PCL-R/ACL-Rs, 1% of PCL-Rs, and 0.3% of ACL-Rs (p < 0.001).
conclusionDifferences in injury mechanisms among patient groups confirm that operatively treated PCL tears are frequently caused by both traffic and sports. Cartilage and ligament injuries were more frequent in patients with PCL-R compared to ACL-R. Consequently, combined PCL and ACL tears should raise suspicion for concomitant knee lesions with clinical relevance during the operative treatment of these complex injuries. LEVEL OF EVIDENCE: III.
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