PCL Reconstruction

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What is PCL Reconstruction?

The Posterior cruciate ligament (PCL) is one of the key ligaments that help stabilize your knee joint. The PCL connects your thighbone (femur) to your shinbone (tibia).


What is PCL?

The Posterior cruciate ligament (PCL) is one of the key ligaments that help stabilize your knee joint. The PCL connects your thighbone (femur) to your shinbone (tibia).

The PCL (posterior cruciate ligament) is a band of tissue inside your knee. When your PCL is healthy, it helps to hold together the bones of your knee. It also helps to keep your knee stable.



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What is PCL tear?

It's most commonly torn during sports that involve sudden stops and changes in direction — such as basketball, soccer, tennis and volleyball. If it gets damaged, you may have trouble putting pressure on your knee, walking, or playing sports.

It gets damaged when it stretches or tears. PCL injuries are common among people who play sports because they make movements that can put a lot of stress on the knee, like:
➤ Changing direction quickly (cutting)
➤ Stopping suddenly
➤ Planting your foot and pivoting
➤ Landing wrong after a jump



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Do all PCL injuries need surgery?

No.

If you strain or slightly tear your PCL, it may heal over time with your doctor’s help and physical therapy. But if it’s completely torn, you may need to have it replaced -- especially if you’re young and active or an athlete who wants to keep playing sports. If you’re older or less active, your doctor might recommend treatments that don’t require surgery.
There are three grades of PCL injury:

Grade 1:
The ligament is overstretched and less than 10% of the fibres are torn. Should heal naturally in a few weeks.
Grade 2:
More of the fibres are torn but the ligament is still intact. May heal with a rehab programme or may require arthroscopic PCL surgery.
Grade 3:
The ligament is completely ruptured i.e. torn in two. Usually requires arthroscopic knee surgery.

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What is PCL Reconstruction Surgery?

PCL surgery is a procedure that doctors use to replace a torn ligament in your knee.
When your doctor removes your torn PCL, they put a tendon in its place. (Tendons connect muscle to bone.) The goal is to get your knee stable again and give it the full range of motion it had before you got hurt.


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PCL Surgery Procedure

Doctors typically use arthroscopic surgery on your PCL. This means they insert tiny tools and a camera through small cuts around your knee. This method causes less scarring of the skin than open-knee surgery does.

PCl Surgery Procedur

The procedure takes about an hour. You may have regional anesthesia, when your doctor puts medicine in your back so you won’t feel anything in your legs for a few hours. If you have regional anesthesia, you probably will also get medicine that helps you relax during the procedure.

The first step is to place the graft at the right spot.When the tendon is put into your knee, it’s known as a graft. WE USE Autograft. Your doctor uses a tendon from somewhere else in your body (like your other knee, hamstring, or thigh).

PCl Surgery Procedur

PCl Surgery Procedur

Then, your doctor will drill two holes, called “tunnels.” They’ll put one in the bone above your knee and another in the bone below it. They’ll place screws in the tunnels to hold the graft in place. It serves as a sort of bridge that a new ligament will grow on as you heal. It can take months for a new PCL to grow in fully.

We use the most advanced technologies to help you heal better. We use self absorbable screws so that over few years there will be no screw inside your body.

PCl Surgery Procedur

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PCL Surgery Risk

As with any type of surgery, there are risks with PCL surgery. In general, surgery may cause:


Bleeding at the wound
Infection
Blood clots
Breathing issues
Reaction to Anesthesia

With PCL surgery in particular, the risks include:

Knee pain
Stiffness in your knee
A graft not healing well
A graft failing after you return to physical activity

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PCL Surgery Recovery

Before you leave the hospital, you’ll learn how to change the dressing on your wound. Your medical team may tell you to keep your knee raised on pillows, put ice on it, and wrap it in a bandage to keep it compressed. You’ll probably have to use crutches to keep the pressure off your knee.
Your doctor may recommend medication to help with pain, including:

Over-the-counter medicine like acetaminophen, ibuprofen, or naproxen
Prescription drugs like meloxicam (Mobic, Vivlodex) or gabapentin (Neurontin) As your PCL begins to heal, your doctor should send you for progressive physical therapy. That will help to strengthen the muscles and ligaments. After that, you should be back to doing the things you like to do within about 9 months. For athletes, it can take up to 12 months to be able to play again.

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