Serious multiligament knee injuries are usually the result of high energy trauma and generate functional sequelae to a greater or lesser extent. Experience in surgical treatment and in the field of research has led Dr. Gelber to develop expert management of these lesions. The types of lesions take many patterns, and that is why a detailed knowledge of the anatomy of the knee is required for accurate diagnosis and treatment.
So, these injuries must be treated and focus on in a completely individualized way. Otherwise, it can lead to failures that incapacitate the patient further. That’s why lesions of the same structure should be treated in line with multiple factors such as age of the patient, functional demand, the overall condition and the associated injuries.
Posterior cruciate ligament injuries
Isolated lesions of the posterior cruciate ligament (PCL) that require surgical reconstruction are rare. Surgical treatment is more frequently needed when the PCL is associated with other ligament injuries. In patients with functional high demand, reconstruction with a technique using two bundles (double bundle) may be desirable even though it is somewhat necessary to individualize each case.
Rehabilitation of injuries or surgical reconstructions of the posterior cruciate ligament tend to be more conservative when compared to the ACL. It is imperative that the patient understands the process well to recover the maximum possible knee function.
During the initial stages, continuing use of a knee brace specific to PCL injuries is considered essential. The most appropriate is the knee brace Medi PCL.
The PCL injury rehabilitation treatment protocols can be separated by phases and, although similar, are not the same in cases of conservative treatment (non-surgical) or after surgical reconstruction of the ligament. You can download both protocols at the following links:
Collateral ligament injuries
Dr. Gelber is a recognized specialist in the treatment of injuries to the collateral ligaments of the knee. Numerous international scientific papers and presentations position him as a reference in the field. These lesions are very variable and two similar cases rarely arise. That is why a detailed clinical evaluation is required to arrive at an accurate diagnosis. He has developed treatment techniques for these lesions using surgeries with mini-incisions that allow for better postoperative recovery with minimal aesthetic aggression. When the number of injured ligaments is high, some surgeons prefer to perform their reconstruction in two surgeries. However, reconstruction surgery in one act is Dr. Gelber’s preference.