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acl tear

What to do?


PCL Tear

PCL is located on the back and middle of the knee and is known as the Posterior Cruciate Ligament. It is one of several ligaments that connects the thighbone to the leg bone. The posterior cruciate ligament is the strongest ligament of the knee and thus, it is injured rarely as compared to the ACL.

Most isolated low-grade partial PCL sprain injuries must be treated with a non-operative program to include functional rehabilitation of the quadriceps mechanism and the possible use of a jack brace to help reduce the knee into a neutral position.

Some patients who have a complete PCL tear can be considered for a non-operative rehabilitation program. However, in most patients who have 8 mm or more of increased posterior knee translation, there is a much higher likelihood that these patients will need a reconstruction surgery to improve their knee function and decrease their chances of developing knee arthritis. Thus, in high demand patients, it is usually recommended to proceed with the PCL knee reconstruction because results of acute reconstructions are much better than chronic reconstructions.

PCL surgery recovery involves patients to follow strict rehab protocols as advised by the surgeon and physiotherapist. Patients start partial weight-bearing at six weeks postoperatively and wean off of crutches gradually.

PCL avulsions can easily be treated by screw fixation immediately after the injury with a rapid return to normal function on a month.