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Posterior Cruciate Ligament (PCL) Reconstruction

The posterior cruciate tendon is situated in the back of the knee. It is one of a few tendons that interface the femur (thighbone) to the tibia (shinbone). The posterior cruciate tendon shields the tibia from moving in reverse.

Damage to the posterior cruciate tendon requires an intense force. A typical reason for damage is a bowed knee hitting a dashboard in an auto collision or a football player falling on a knee.

What Causes Damage to Posterior Cruciate Ligament?

Damage to the posterior cruciate tendon can happen in numerous ways. It usually requires an intense force to do so.

  • An immediate hit to the front of the knee, (for example, a bowed knee hitting a dashboard in a fender bender, or a fall onto a twisted knee in sports)
  • Pulling or extending the tendon, (for example, in a curving or hyperextension damage)
  • Direct stumble

What are the Symptoms of Posterior Cruciate Ligament Damage?

The common symptoms (or manifestations) of posterior cruciate tendon damage are:

  • Pain with swelling that happens relentlessly and rapidly after the damage
  • Swelling that makes the knee hardened and may cause a limp
  • Trouble in walking
  • The knee feels unsteady as if it might "give up."

How is the Diagnosis Made for Posterior Cruciate Ligament Damage?

Amid your first visit, your specialist will converse with you about your symptoms and therapeutic history.

Amid the physical examination, your specialist will check each of the structures of your harmed knee, and compare them with your non-harmed knee. Your damaged knee may seem to droop in reverse when twisted. It may slide in reverse too far, especially when it is rotated past a 90° edge. Different tests which may enable your specialist to affirm your diagnosis to incorporate X-rays and magnetic reverberation imaging (MRI). It is likely, nonetheless, for these photos to seem ordinary, mainly if the damage happened over 3 months before the tests.

  • X-rays Despite the fact that they won't demonstrate any damage to your posterior cruciate tendon, X-rays can indicate whether the tendon detached a bit of bone when it was damaged. This is called a separation crack.
  • MRI This examination creates pictures of delicate tissues like the posterior cruciate tendon. Any injury can be detected through this method.

How is Posterior Cruciate Ligament (PCL) Reconstruction Conducted?

Your specialist may suggest medical procedure in case you have consolidated wounds. For instance, if you have disjointed your knee and torn different tendons including the posterior cruciate ligament, a medical procedure is quite often essential.

Reconstructing the tendon:

Since sewing the tendon closures back together does not usually recuperate, a torn posterior cruciate tendon must be revamped. Your specialist will supplant your torn tendon with a tissue graft. This graft is taken from another part of your body, or from a donor. It can take a while for the graft to mend into your bone.

Procedure:

The medical procedure to repair a posterior cruciate tendon is finished with an arthroscope and making small incisions. Arthroscopic medical procedure is minimally invasive. The advantages of minimally intrusive strategies incorporate less pain from the medical procedure, less time spent in the clinic, and quick recuperation.

Surgeries to repair back cruciate tendons keep on improving. Further developed procedures enable patients to continue a more extensive scope of exercises after recovery.

Prognosis

The procedure will allow the patient to go at their homes on the same day depending upon the condition. Always use a splint after your arthroscopy because it will support your knee and you can use it without any problem. It will also prevent excessive swelling and pain after the surgery.

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Hospitals

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Dr. Anil Kumar VarshneyDirector & HOD - Urology

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