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. 2021 Feb 28;7(1):e30-e34.
doi: 10.1055/s-0040-1722342. eCollection 2021 Jan.

Treatment of Partial Posterior Cruciate Ligament Injuries with Platelet-Rich Plasma in Growth Factors (PRGF) Intraligamentous Infiltration and a Specific Knee Brace

David Barastegui  1   2   3   4 , Eduard Alentorn-Geli  1   2   3 , Dhaval Gotecha  5 , Marta Rius  1   2   3 , Jordi Navarro  1   3 , Xavier Cuscó  1   3 , Roberto Seijas  1   2   3   4 , Ramón Cugat  1   2   3
Affiliations

Treatment of Partial Posterior Cruciate Ligament Injuries with Platelet-Rich Plasma in Growth Factors (PRGF) Intraligamentous Infiltration and a Specific Knee Brace

David Barastegui et al. Surg J (N Y). .

Abstract

Posterior cruciate ligament (PCL) injuries are not as common as other knee ligament injuries, but may present a challenging scenario for even skilled knee surgeons. Complete PCL tears are typically encountered in the setting of multiligament knee injuries and require surgical treatment. Isolated complete PCL injuries are uncommon and the best treatment is debated, and likely depends on the degree of symptoms and objective instability. However, many PCL injuries will be partial tears (grade I or II). The purpose of this chapter is to describe our treatment of choice for partial PCL injuries through a conservative approach. Level of evidence Level IV.

Keywords: PCL; PRP; growth factors; knee brace; treatment.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Stress X-rays (gravitational) showing a partial tear of isolated posterior cruciate ligament injury (Courtesy of Dr. Xavier Cuscó).
Fig. 2
Fig. 2
Aspect of blood samples after centrifugation. Note the two fractions of the preparation along with the white and red blood cells layers. PPP, plasma poor in platelets; PRP, plasma rich in platelets.
Fig. 3
Fig. 3
Specific posterior cruciate ligament knee brace from Medi, the M4.s posterior cruciate ligament Dynamic Brace showing the mechanism to counteract posterior tibial sag (Courtesy of Medi Bayreuth Spain SL).
Fig. 4
Fig. 4
Ultrasound-guided injection of PRGF Endoret (BTI) inside the posterior cruciate ligament sheath (Courtesy of Dr. Marta Rius and Dr. Ramón Cugat). *Determines axial view of posterior cruciate ligament body. FC, femoral condyle.
See this image and copyright information in PMC

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