What is PCL Reconstruction Surgery?

PCL reconstruction surgery is a procedure to repair or replace the posterior cruciate ligament (PCL) in the knee, typically after a severe injury. The surgery involves using a graft, often taken from the patient's own tissue or a donor, to replace the damaged ligament, restoring stability and function to the knee. This minimally invasive procedure is performed arthroscopically, allowing for smaller incisions, reduced pain, and quicker recovery times. Rehabilitation and physical therapy are crucial post-surgery to ensure proper healing and return to normal activities.



When is a PCL Reconstruction Surgery Recommended?

PCL reconstruction surgery is recommended in the following situations:

  1. Severe PCL Injury: When the posterior cruciate ligament is completely torn or significantly damaged, causing knee instability.
  2. Persistent Symptoms: If conservative treatments such as physical therapy and bracing do not alleviate symptoms like pain, swelling, or instability.
  3. Active Lifestyle: For individuals who engage in high-demand activities or sports requiring knee stability and strength, and who need a fully functional knee.
  4. Chronic Knee Instability: In cases where chronic PCL deficiency results in long-term knee instability and functional limitations, affecting daily activities.
  5. Associated Injuries: When there are additional injuries to other knee structures, such as ligaments or cartilage, necessitating surgical intervention to restore overall knee function.

How to Prepare for a PCL Reconstruction Surgery?

To prepare for PCL reconstruction surgery, follow these steps:

  1. Medical Evaluation: Undergo a thorough medical evaluation, including imaging tests like MRI or X-rays, to assess the extent of the injury and overall knee health.
  2. Pre-Surgery Instructions: Follow your surgeon's pre-surgery instructions, which may include stopping certain medications, fasting, and avoiding alcohol and smoking.
  3. Physical Conditioning: Engage in pre-surgery physical therapy or exercises as recommended by your doctor to strengthen the muscles around your knee, which can aid in post-surgery recovery.
  4. Arrange Support: Plan for post-surgery care by arranging for transportation home after the procedure and organizing help for daily activities during the initial recovery period.
  5. Prepare Home Environment: Make necessary adjustments at home to ensure a safe and comfortable recovery environment, such as setting up a resting area on the ground floor and removing trip hazards.

What Happens During an Arthroscopic PCL Reconstruction Surgery?

Here's what to expect during a PCL reconstruction surgery:

  1. Anesthesia: The patient is administered general or regional anesthesia to ensure they are pain-free and comfortable throughout the procedure.
  2. Arthroscopic Access: Small incisions are made around the knee, and an arthroscope (a tiny camera) is inserted to provide a clear view of the knee joint on a monitor.
  3. Graft Harvesting: A graft is harvested, either from the patient's own tissue (autograft) or from a donor (allograft). Common sources for the graft include the hamstring tendon or the patellar tendon.
  4. Graft Placement: The damaged PCL is removed, and tunnels are drilled into the femur and tibia bones to anchor the new graft. The graft is then threaded through these tunnels and secured with screws or other fixation devices.
  5. Closure and Recovery: The surgical instruments and arthroscope are removed, and the small incisions are closed with sutures or surgical tape. The knee is bandaged, and the patient is taken to a recovery area to begin post-operative care, including initial physical therapy exercises.

PCL Reconstruction Surgery - Recovery

Recovery from PCL reconstruction surgery involves several key stages:

  • Immediate Post-Operative Care: After surgery, the knee is typically immobilized with a brace or splint to protect the new graft. Pain and swelling are managed with medications and ice packs.
  • Physical Therapy: Rehabilitation begins shortly after surgery, focusing initially on gentle range-of-motion exercises to prevent stiffness and gradually progressing to strengthening exercises for the knee and surrounding muscles.
  • Gradual Weight-Bearing: Weight-bearing on the operated leg is usually limited in the initial weeks and gradually increased as healing progresses. Crutches or a walker may be used to aid mobility during this period.
  • Follow-Up Appointments: Regular follow-up visits with the surgeon are essential to monitor the healing process, check the stability of the knee, and adjust the rehabilitation plan as needed.
  • Full Recovery: Complete recovery can take several months, with most patients resuming normal activities, including sports, within 6 to 12 months. Adhering to the physical therapy regimen is crucial for achieving the best outcomes and ensuring the restored stability and function of the knee.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital in Patna, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin! 

The power of Medfin in patient’s words


“ Got to know about them from my friend. They got an appointment for only 299. Once the doctor confirmed that I needed the surgery they got me a fixed cost which included ALL the costs. No extra amounts were charged. Thank you Medfin”

Suresh Menon Hyderabad 8 days ago
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“ After my consultation with the doctor, MEDFIN representative got me a fixed package cost that included my mothers initial tests, surgery cost. They also gave me stockings free for Rs. 3000 post the surgery. They kept up their promise they made”

Radhika Iyer Mumbai 8 days ago
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“ Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout”

Deepa Shree Bangalore 8 days ago
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