PCL Reconstruction

For PCL injury of Grades III and IV, operative surgery is recommended. Grafts is the method when addressing PCL injuries that are in need of operative surgery.

About the Surgery

The posterior cruciate ligament, or PCL, is the strongest ligament of the knee. Posterior cruciate ligament (PCL) injuries are relatively uncommon injuries.A torn PCL is commonly missed and left undiagnosed.

The posterior cruciate ligament’s most important function is to prevent posterior translation of the knee at higher knee flexion angles. For PCL injury of Grades III and IV, operative surgery is recommended. Grafts is the method when addressing PCL injuries that are in need of operative surgery.

  • Posterior knee pain and a mild to moderate effusion.
  • Chronic PCL insufficiency may complain of vague, anterior knee pain and difficulty with certain activities such as ascending and descending stairs.

 A full physical examination will be conducted by the doctor to see if the patient is in good health to undertake the surgery. 

  • The patient’s medical history is thoroughly studied so as to avoid any complications from arising during or after the surgery.
  • Medications such as blood thinners, are advised to be stopped, a week before the surgery is due to take place.
  • The patient is to fast for a minimum of 8 hours before the surgery.

PCL reconstruction surgery consists of replacing the torn PCL with one’s own tissues or an allograft. A common technique involves grafting the torn PCL with segments of the hamstring tendons. - If the surgery involves the reconstruction of multiple ligaments at once, different graft materials may be used.

  • In general, most techniques utilise specially designed screws allowing secure immediate fixation of the graft material within bone tunnels drilled into the knee.
  • The surgery is frequently carried out as a day surgery procedure.
  • PCL reconstruction is usually performed under general anaesthetic (asleep) to ensure the muscles surrounding the joint are adequately relaxed to conduct the procedure.
  • Local anaesthetic in infiltrated around the knee at the end of the operation to help limit pain.
  • Physiotherapy - exercises are vitally important for the best possible results
  • Nutritive dense balanced food
  • Medications as per the medical report.
  • Taking care of the wounds from infections with at most care.

  • Graft failure due to poorly understood biologic reasons occurs in approximately 1% of grafts and a further 1% of grafts rupture during active movements.
  • Stiffness of the knee.
  • Persistent pain over the front of the knee.
  • Persistent swelling of the knee and Calf.
  • Deep venous thrombosis (DVT). It is advisable not to take the oral contraceptive pill for 6 weeks prior to surgery or HRT at the time of surgery. Please ask for advice if necessary.
  • Infection of the knee. This is a rare but extremely serious complication. Antibiotics are given during and shortly after the operation to minimise the risk.

Medfin finds you the best surgeons across India

  • His career spans over 18 years of Orthopaedic experience with special interest in Advance Arthroscopic Surgery, Sports Injuries, Joint replacement and Complex Trauma.
  • His exposure to sports injuries came from London Olympic Hospital 2012 , exposing to vast amount of complex sports injuries on and after London Olympics 2012 .
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Dr Sai Krishna B Naidu
Dr Sai Krishna B Naidu

Consultant - Trauma and Orthopedics

MRCS, Dip. SICOT, FRCS(Ortho), MCh(Ortho), Specialist - Joint Replacements & Sports Injuries. Fellowship - Joint Replacements ( London, UK) Advanced Arthroscopy & sports Injuries ( New York, USA)

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  • Specialist with 9 years of experience in shoulder journey and joint replacement.
  • Dr. Nair is the one of the few, trained hip Arthroscopy surgeons in India
  • Has over 9 years of experience
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Dr Ayyappan Nair
Dr Ayyappan Nair


MBBS, DNB - Orthopedic Surgery, Fellowship in Shoulder & Knee surgery, Fellowship in Arthroscopy & Sports Injury, Fellowship in Joint Replacement

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  • Orthopedist with 15 years of experience.
  • Professor at Sanjay Gandhi Institute of Trauma & Orthopedics
  • Specialized in sports injuries and ACL and PCL arthroscopy
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Dr Madan Ballal
Dr Madan Ballal

Orthopaedics, Sports Medicine Arthroscopic Surgeon

MBBS, MS (Orthopaedics)

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  • Orthopedist with experience in Arthroplasty. Special interest in sports injuries and arthroscopic surgeries of the knee and shoulder
  • .
  • 7+ year of experience
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Dr Harish Puranik
Dr Harish Puranik


MBBS, MS - Orthopedics

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  • Dr. Kiran Chouka has more than 10 Years of Experience in orthopeadic surgeries
  • Expert in Hip Resurfacing Surgery, Minimally Invasive Surgery, Custom-fit Knee Replacement, Uni-Compartmental Knee Replacement, Patello-femoral Replacement.
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Dr Kiran Chouka
Dr Kiran Chouka

Orthopaedic Surgeon

MBBS, MS (Orthopaedics)

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FAQs and Related Articles

PCL injury may occur while playing sports or during an accident. The only treatment option for PCL Injury is Surgical Reconstruction of PCL. In this surgical reconstruction, the surgeon removes the injured PCL, then he/she uses a portion of the ligament from Medial Collateral Ligament (MCL) to reconstruct the PCL.
You will recover from PCL Reconstruction in stages. After 3 days, you will be able to walk with crutches. After rehabilitation and physiotherapy, you can go back to your regular life. This can take anywhere from 3 weeks to 3 months. The doctor may allow you to return to sports after 6 Months.
The patient can start walking 3 to 4 days after PCL Reconstruction. In some cases, when the surgeon is confident, he/she may allow the patient to walk on the same day of surgery but with the help of crutches and knee braces.
Your PCL may get torn or injured due to high pressure on them. This may be caused due to sudden movements or in vehicular accidents. If the injury is small then the injury may heal naturally else you PCL Reconstruction is necessary.
The patient will be under anaesthesia during the surgery, Hence the patient will not experience any pain. After the surgery, the patient may have pain for which the doctor may prescribe medicines (which will have painkillers).
When you have a torn PCL, you can observe swelling and pain in the back of the knee. In some cases of PCL tear, patients will have difficulty in walking. This means you will able to walk after PCL tear but in a rare situation, you might have difficulty in walking.
In the case of small PCL tear or minor damage, you won't need surgery. If the PCL Injury or tear is major then the only treatment option is surgery.

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