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PCL Reconstruction is an operation to repair a torn ligament inside the knee that helps keep the joint steady. When the ligament is hurt, the knee may feel unstable or shaky.
In this surgery, the injured ligament is taken out and replaced with a new tendon, either from the patient’s own body or from a donor. The surgeon makes minor incisions and uses a tiny camera to guide the repair, avoiding a large incision.
After surgery, patients typically undergo exercises and physical therapy to help their knee regain strength and motion. Recovery usually takes several months before normal activities can be resumed.
PCL reconstruction is done to restore knee stability after a complete or severe tear of the posterior cruciate ligament. This procedure is often necessary when the injury causes pain, instability, or limits physical activity. It involves replacing the torn ligament with a tissue graft. This helps prevent long-term joint damage and the onset of early arthritis.
You should see a doctor if you have knee pain, swelling, or instability after a trauma, especially if the shin bone seems to move backwards. Difficulty walking or being unable to bear weight are warning signs. MRI scans can confirm a PCL injury. Early consultation can help prevent the injury from getting worse.
Preparation includes a physical examination, an MRI scan, and blood tests. You may need to stop taking certain medications, such as blood thinners temporarily. Your doctor might recommend prehabilitation with physical therapy to strengthen muscles. If you plan to have general anesthesia, your doctor will provide fasting instructions.
The surgeon performs the reconstruction arthroscopically, using small incisions and a camera-guided tool. A graft, often from the hamstring or a donor, is used to replace the torn PCL. The graft is secured in place with screws or other devices. After that, the incisions are closed and a brace is applied.
PCL reconstruction typically takes between 90 minutes and 2 hours. It usually occurs as a day procedure, though some cases may need overnight observation. The initial recovery starts in a brace with limited movement. Walking with crutches is common for the first few weeks after surgery.
Recovery involves physical therapy, bracing, and limited weight-bearing. The initial healing phase lasts 6 to 8 weeks, followed by a period of progressive strengthening. Full recovery and return to high-impact sports may take 6 to 12 months. Regular follow-ups ensure the graft heals properly.
PCL reconstruction has a success rate of 80 to 90%, primarily when performed by experienced orthopedic surgeons. Most patients regain stability and function, allowing them to participate in daily activities and sports. Long-term outcomes are favourable when combined with consistent rehabilitation and proper injury prevention.
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