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Alfonso Vaquero-Picado Department of Orthopedic Surgery, “La Paz” University Hospital, Paseo de la Castellana 261. CP 28046. Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery, “La Paz” University Hospital, Paseo de la Castellana 261. CP 28046. Madrid, Spain

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Introduction Posterior cruciate ligament (PCL) tears are not as frequent as anterior cruciate ligament (ACL) tears. They are rare as an isolated injury and more commonly occur in a multi-ligament-injured knee. 1 Although it is well

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Jonathan G. Robin Box Hill Hospital, Eastern Health Network, Australia

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Philippe Neyret Lyon 1 University, France

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) instability as well as posterior cruciate ligament (PCL) and posterolateral corner (PLCnr) laxities. 15 - 19 More literature is available regarding the combination of HTO and ligament reconstruction in these clinical scenarios. The short- and medium

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Sohrab Keyhani Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Mohammad Movahedinia Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Arash Sherafat Vaziri Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

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Mehran Soleymanha Orthopedic Surgery, Poursina Hospital Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran

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Fardis Vosoughi Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Mohammad Tahami Bone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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Robert F LaPrade Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

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some problems such as posterior cruciate ligament (PCL) tears or avulsion and pigmented villonodular synovitis (PVNS) in the posterior compartment of the knee. Morgan first reported posterior knee arthroscopy to repair posterolateral and posteromedial

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N. Reha Tandogan Çankaya Orthopedics, Ankara, Turkey

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Asim Kayaalp Çankaya Orthopedics, Ankara, Turkey

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of the knee. 8 Its role in valgus stability is more prominent in extension. The POL also acts as a secondary posterior stabilizer; this becomes more important in the absence of the PCL. 8 Injury mechanisms Medial side injuries of the

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E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain

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Hortensia De la Corte-Rodríguez Department of Physical and Rehabilitation Medicine, La Paz University Hospital, Madrid, Spain

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Carlos A. Encinas-Ullán Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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Primitivo Gómez-Cardero Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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1. Physical examination of knee ligament injuries Structure Test Anterior cruciate ligament (ACL) Lachman’s test, pivot shift Posterior cruciate ligament (PCL) Posterior drawer, posterior sag sign Medial

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Jimmy Wui Guan Ng Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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Yulanda Myint Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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Fazal M. Ali Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield, UK

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, Deepak S. Knee pain in children. Paediatrics and Child Health 2019;29:521–527. 1 Table 1. Schenck classification of knee dislocation 2 Type 1 Description KDI Multiligament knee injury with ACL or PCL rupture

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Chilan Bou Ghosson Leite Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Patricia Moreno Grangeiro Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Diego Ubrig Munhoz Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Pedro Nogueira Giglio Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Gilberto Luis Camanho Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Riccardo Gomes Gobbi Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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.3%) demonstrated posterior cruciate ligament (PCL) deficiency, of whom 12 had a PCL deficiency in association with ACL abnormality; that is, 12 patients (44.4%) had abnormalities in both anterior and posterior cruciate ligaments. One patient (3.7%) had isolated PCL

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Jan Victor Ghent University, Department of Orthopaedics and Traumatology, Ghent, Belgium

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planes. This technique can be used in extension or in flexion. -  Ligament release . A ligament that is considered too tight can be cut (as in ligament sacrificing, e.g. the posterior cruciate ligament (PCL)), detached from its insertion, partially

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Francisco Figueroa Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
Hospital Sotero del Rio, Santiago, Chile

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David Figueroa Clinica Alemana-Universidad del Desarrollo, Santiago, Chile

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Sven Putnis Southmead Hospital, Bristol, UK

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Rodrigo Guiloff Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
Hospital Sotero del Rio, Santiago, Chile

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Patricio Caro Clinica Alemana-Universidad del Desarrollo, Santiago, Chile

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João Espregueira-Mendes Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Portugal
Orthopaedics Department of Minho University, Portugal

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acute phase after injury, swelling and pain can prevent a full physical examination, but examination is likely to detect gross instability. Alongside a careful examination for anterior cruciate ligament (ACL), PCL and medial collateral ligament (MCL

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Andrea Ferrera Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Centre, Turin, Italy

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Jacques Menetrey Centre de Médecine du Sport et de l’Exercice (CMSE), Swiss Olympic Medical Center, Hirslanden Clinique La Colline, Geneva, Switzerland
Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland

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. Triplanar osteotomy might be suitable for patients with a posterior cruciate ligament (PCL) injury associated with a varus knee, with a tibial slope of less than 9° ( 5 ). Indeed, an increase of the tibial slope may easily be performed concomitantly to an

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