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Interventions for treating posterior cruciate ligament injuries of the knee in adultsPeccin MS, Almeida GJ. M., Amaro JT, Cohen M, Soares B, Atallah ÁN
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SummaryInterventions for treating posterior cruciate ligament injuries of the knee in adultsThere is a lack of high quality evidence (randomized controlled trials) for the treatment of PCL injuries of the knee. Observational studies have suggested that isolated PCL injuries may be treated conservatively, with good prognosis. In more severe injuries in which the PCL is injured along with other ligaments in the knee, surgical intervention has been used. However, recommendations based on observational studies alone must be treated with caution. Future research should include randomized controlled trials of surgical and conservative interventions for PCL injuries.
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 1, Copyright © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
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April 20. 2005 AbstractBackgroundInjuries of the posterior cruciate ligament (PCL) of the knee frequently occur in automobile accidents and sports injuries, although they are less frequent overall than injuries of the anterior cruciate ligament (ACL). Some patients show significant symptoms and subsequent articular deterioration, while others are essentially asymptomatic, maintaining habitual function. Management of PCL injuries remains controversial and prognosis can vary widely. Interventions extend from non-operative (conservative) procedures to reconstruction of the PCL, in the hope that the surgical procedure may have a positive effect in the reduction/prevention of future osteoarthritic changes in the knee. ObjectivesTo determine the effectiveness and safety of surgical and conservative interventions for PCL injuries in adults. Search strategyWe searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (April 2004), the Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 1, 2004), MEDLINE via PubMed (1966 to April 2004), EMBASE (1966 to April 2004), CINAHL (1982 to April 2004), LILACS (1982 to April 2004), SportsDiscus (1975 to April 2004), and reference lists of articles. Selection criteriaRandomized or quasi-randomized clinical trials comparing various methods of operative and conservative interventions, and comparisons with each other for the treatment of PCL injuries. Data collection and analysisReferences found with the search strategy were evaluated independently by two review authors. Main resultsNo randomized or quasi-randomized controlled studies meeting the selection criteria were identified. Authors' conclusionsFuture research should include randomized controlled trials of acute isolated PCL injuries, or PCL injuries when combined with other ligament injuries of the knee, treated operatively and conservatively. Adequate numbers of patients and an objective methodology for patient evaluation must be used in future studies of these interventions to determine the long-term results. |