A Posterior Cruciate Ligament (PCL) Reconstruction injury is a partial or complete tearing or stretching of any part of the posterior cruciate ligament (PCL), which is located inside the knee joint. This is typically a minimally invasive, arthroscopic, procedure. Arthrex provides a comprehensive line of PCL reconstruction instrumentation options for a variety of PCL reconstruction techniques. to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee. The knee may buckle or “give-way.” If medical treatments are not satisfactory, ligament repair or reconstruction surgery may be an effective treatment.  The posterior cruciate ligament (PCL) is located toward the back of the knee, and is one of several ligaments that connect the femur (thighbone) to the tibia (shinbone). ACL/PCL Reconstruction Surgery. During your examination in the office we determined if there were other injuries as well. If we determined that there were injuries to other ligaments in the knee then we will repair or reconstruct those at the same time.  If we find meniscus tears within the knee those will also be repaired. The most common associated ligament injury is the LCL or the lateral collateral ligament and the posterolateral corner. If your injury is recent then we will often be able to repair these structures. If the injury is old or chronic, then we will need to perform a LCL and posterolateral corner reconstruction. This might seem extreme… but if we do not fix all the torn ligaments that have not healed then it will increase the risk that the PCL surgery will fail. Therefore, if you have a multi-ligament knee injury, you will require that all the ligaments be repaired at the same time. That is the most reliable way to give you the best way of returning to an active lifestyle. tight in flexion. Meniscus Transplant For Knee Pain after Meniscus Surgery →, Heart Rate Variability (HRV) For Monitoring Our Health, Cortisone Steroid injections and Covid Vaccination: Timing is Everything, Zone 2 Heart Rate Training For Longevity and Performance, Walk, Exercise, Running, and Living with Knee Arthritis, ACL Surgery: Video Answers To Common Questions- Part 1, Meniscus Tears: Experts Give Video Answer To FAQs, Frozen Shoulder: Experts Answer Your Most Common Questions: Video, Masks Prevent The Spread of COVID19… the Evidence Is In. Grade 2 PCL Tear: Usually more than 50% of the ligament is torn. The exceptions are patients with chronic multiple ligament ruptures in whom autograft tissues are … In the PCL Reconstruction Surgery, a small incision is made and an Arthroscope is inserted to analyze the damaged PCL. PCL (posterior cruciate ligament) reconstruction is a surgical procedure in which the damaged PCL is replaced by a graft — usually taken from your own body. So an alternative tissue needs to used to replace it. Grade 3 PCL injuries usually occur in conjunction with injuries to other ligaments. The most common associated injuries include the lateral collateral ligament and the posterolateral corner. After a grade 3 injury the knee will feel wobbly or loose. If other ligaments are torn then these injuries will generally heal better if surgery is performed sooner rather than later. If you have injuries to both the PCL and the lateral side of the knee we will also be concerned about the status of your blood vessels and a nerve on the outside of the leg. With severe PCL injuries the knee might have dislocated. That can cause a disruption of the blood flow to the leg or it can injure the peroneal nerve which can affect your ability to move the ankle up and down.                                                                                             Â. It is not uncommon for a torn PCL to be missed on examination and left undiagnosed. Many people will present to our office many months after their injury as a third or fourth opinion. At 12 weeks, solid graft to bone healing time should occur. Rehabilitation following PCL reconstruction is an essential part of full … What a comprehensive explanation for a pcl tear. This site should be used for informational purposes only. PCL is 30% larger than the ACL. Ensure wound healing 3. In addition, PCL rehabilitation … Select a specialty Provider referrals. Weightbearing status: If isolated PCL injury, TTWB may begin 4 weeks post-op and advance gradually to FWB by 6 weeks. Author information: (1)Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY 10021, USA. You may undergo blood tests or other diagnostic tests. The results of 11 patients who underwent simultaneous arthroscopically assisted anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) reconstruction for acute (n=7) or chronic (n=4) multiligamentous knee injuries were reviewed. The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are two central, flexible, strong tissues that your knee relies upon to stabilize itself as you walk, run, and perform activities during your daily life. Thank you. Decrease knee … Because the sedative may make you drowsy, you will need to arrange for some to drive you home.                                           Â, Take a pain reliever for soreness as recommended by your doctor. Search. Most PCL reconstruction is performed using knee … That’s because the PCL is in the back of the knee joint and depending on where the ligament tore, it may not cause bleeding into the knee. When someone tears their ACL they are rarely able to walk on it. When someone tears their PCL, they may complain of pain, but they are often able to walk off the field after injury. A Grade 2 injury is a partial tear of the PCL. In addition to a complete medical history, your doctor may perform a complete physical examination to ensure you are in good health before undergoing the procedure. 5 Signs to Look For. Others have increased motion in the knee joint as the graft stretches over time. The recovery from a mild PCL injury will be far more rapid than the recovery from a PCL injury requiring surgery. A patient with a PCL sprain will be able to return to sports within a few weeks or months. PCL injuries were historically treated by repair surgery. Session 8, Demo #2. Revision PCL reconstruction is usually performed using the quadriceps tendon autograft in the majority of cases. It is by no means intended to be a substitute for one’s clinical decision- Disclaimer: this information is for your education and should not be considered medical advice regarding diagnosis or treatment recommendations. The posterior cruciate ligament keeps the tibia from moving backwards too far. (PCL Reconstruction) The posterior cruciate ligament (PCL) is located inside the knee joint near the back of the knee and is responsible for keeping the tibia (leg bone) from moving backward (posterior) in relation to the femur (thigh bone). Search. PCL Reconstruction Surgery. Type a condition, name, specialty, or location. Located in sunny St. George, in southern Utah, SGSC is a multi-specialty surgical facility, physician-owned and operated. To help reduce swelling, you may be asked to elevate your leg and apply an ice bag to the knee several times per day for the first few days. The most important part of the physical examination for a PCL injury is to determine if anything else is torn. The treatment of a PCL injury will be determined by its grade and whether or not it is an isolated injury. Click here to learn more about PCL injuries treatment. PCL tears occur due to trauma, such as automobile accidents, or falling on the knee when bent. March 31, 2009. Posterior Cruciate Ligament Reconstruction PHASE 2: 2 – 6 weeks after surgery Goals 1. There may be other risks depending on your specific medical condition. Protect the reconstruction, avoid falling 2. Your doctor will give you specific bathing instructions. For an experienced knee surgeon, diagnosing a PCL injury is not difficult. When you are lying down we will bend your knee to 90 degree and push your shin backwards. The tibia or shin will sag backwards if the PCL is injured. The PCL is the stronger cousin to the ACL which most people have heard of. While the anterior cruciate ligament, or ACL is injured more often than the PCL and is more well known, PCL tears account for nearly 20% of knee ligament injuries. Most PCL tears occur due to high energy injuries. These include car accidents, and striking your bent knee hard against the ground. Hyperextension of the knee, where the knee bends backwards is also a fairly common mechanism of injury. PCL Injury and Reconstruction. Search. You will be asked not to eat or drink anything for six to twelve hours before the procedure, generally after midnight. As with any surgical procedure, complications can occur. Reconstruction of the PCL-deficient knee with severe posterior laxity is a challenging surgical problem, as combined instability patterns frequently coexist (85% in this study). Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room or discharged to your home. By Metcalf Memorial Meeting 2009 FEATURING Bruce Levy. Skip to main content 415-563-3110. Grade 1 PCL Sprain: partial PCL tear. Presented at Metcalf Memorial Meeting 2009. Notify your doctor of all medications (prescribed and over-the-counter) and herbal supplements that you are taking.
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