PCL Reconstruction


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 are the method when addressing PCL injuries that are in need of operative surgery. Are you looking for a doctor consultation? Consult our doctor at Medfin to know your treatment options.

Tag Line


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.

Symptoms


  • 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.

Pre-Procedure


 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 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.

Procedure


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 utilize 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 anesthetic (asleep) to ensure the muscles surrounding the joint are adequately relaxed to conduct the procedure.
  • A local anesthetic is infiltrated around the knee at the end of the operation to help limit pain.

Post Surgical Care


  • Physiotherapy - exercises are vitally important for the best possible results
  • A nutritive dense balanced food
  • Medications as per the medical report.
  • Taking care of the wounds from infections with at most care.

Risks


  • Graft failure due to poorly understood biological 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 minimize the risk.

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