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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.
- Infection at the surgical site
- Blood clots or deep vein thrombosis
- Knee stiffness or limited range of motion
- Graft failure or loosening
- Nerve or vessel injury
- Restored knee stability and improved movement
- Reduced pain and improved joint function
- Prevention of further cartilage or ligament damage
- Return to sports and physical activities
- Long-term protection against knee degeneration
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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Kalra Hospitals, regarded as one of Delhi's best hospitals, is dedicated to providing high-quality healthcare to people in need and has four locations: Dwarka, Kirti Nagar, Najafgarh, and Palam. The skilled physicians, who specialize in critical care and cardiovascular conditions, are committed to giving our patients comprehensive medical care. In addition to its emphasis on heart health, Kalra Hospitals offers services in the following areas: dentistry, endocrinology, gastroenterology, rheumatology, burns and plastic surgery, cancer therapy, and vascular medicine.
Indian Spinal Injuries Centre
Delhi, India
Indian Spinal Injuries Centre located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- Fully-equipped comfortable in-patient rooms
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Ruby Hall Clinic
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Ruby Hall Clinic located in Pune, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
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Apollo Spectra Hospitals
Delhi, India
Apollo Spectra Hospitals located in New Delhi, India is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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Assuta Hospital
Tel Aviv, Israel
Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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- Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
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Yashoda Hospital, Malakpet
Hyderabad, India
Yashoda Hospital, Malakpet located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Multi-bed facility
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Anadolu Medical Center located in Kocaeli, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
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+99Process Involved for Posterior Cruciate Ligament (PCL) Reconstruction
- Diagnosis: The doctor examines your knee through a physical exam and imaging tests, such as X-rays or MRIs, to confirm the PCL injury.
- Pre-Surgery Preparation: This includes medical checkups, discontinuing certain medications, and beginning gentle exercises to strengthen the knee before surgery.
- Surgery: The damaged PCL is replaced with a new tissue graft—either from your own body or a donor using minimally invasive tools.
- Post-Surgery Care: Immediately after surgery, the knee is kept supported with a brace, and pain is managed with medication.
- Rehabilitation: Physical therapy begins gradually to help the knee regain strength, movement, and balance over several months.
- Return to Normal Activities: Most people can walk normally within a few weeks and return to sports or full activity in 9 to 12 months, depending on the healing progress.
- Complete PCL Tear: When the ligament is fully torn and cannot heal on its own, surgery helps repair the knee and restore stability.
- Chronic Knee Instability: If the knee continues to feel loose or give way long after an injury, reconstruction is necessary to restore its strength.
- Multiple Ligament Injuries: PCL tears can occur in conjunction with other ligament injuries. Surgery is often unnecessary to repair the knee and provide proper support.
- Joint Damage Alongside PCL Injury: When damage to the bone or cartilage accompanies a PCL tear, reconstruction helps protect the joint and prevent long-term complications, such as arthritis.
- When Physical Therapy Doesn’t Work: If rest, bracing, and exercises don’t help with pain or weakness, surgery becomes the best option to restore knee function.
- Knee Check: The doctor checks your knee using tests and scans, such as an MRI, to identify the injured ligament.
- Anaesthesia: You receive medicine to make sure you don’t feel any pain during the surgery, either by being asleep or having the lower body numbed.
- Using a Small Camera: A tiny camera is inserted into the knee, allowing the surgeon to view the damaged area.
- Taking the New Ligament: A strong piece of tissue, called a graft, is taken from your own body or from a donor to replace the damaged ligament.
- Preparing Bone Tunnels: The surgeon carefully creates small holes inside the thigh and shin bones to hold the new ligament in place.
- Placing the Graft: The new ligament is threaded through these holes and secured in place using small screws or anchors.
- Closing the Incisions: The surgeon closes the minor cuts with stitches or glue once the ligament is fixed.
- Starting Recovery: A knee brace is worn to protect the joint, and gentle physical therapy begins to help restore movement and strength.
- Meniscectomy
- Chondroplasty
- Osteotomy
- Arthroscopy
- Debridement
- Synovectomy
- Ligamentoplasty
- Microfracture
- Allografting
- Autografting
- Makes the Knee Stable Again: After surgery, the knee feels strong and steady, so it doesn’t slip or feel wobbly when walking or running.
- Less Pain: Repairing the torn ligament helps reduce pain and makes movement more comfortable.
- Stops More Damage: A stable knee means other parts of the joint, like bones and cartilage, won’t get hurt over time.
- Easier to Move: The knee bends and straightens better, so daily things like climbing stairs or playing become easier.
- Back to Sports and Activities: With a healthy knee, it’s safer to go back to games, dancing, or sports you enjoy.
- Protects the Knee in the Long Run: Addressing the issue now can help maintain your knee's health for many years and reduce the risk of arthritis.
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