Posterior cruciate ligament (PCL) surgery is the repair of a ligament in the knee. When possible, the torn ligament fibers are reattached to each other. The addition of tendon or other tissue may be needed to reconstruct severely damaged ligaments.
The PCL is one of the ligaments that connect the lower leg bone to the thigh bone. It helps to stabilize the knee during movement. PCL surgery is done to repair or replace the ligament after it is torn.
PCL surgery may be considered if:
The PCL is disconnected from the bone (avulsion)
The injury affects:
The ability to move around or take part in activities (especially in athletes)
How well the knee moves
The injury affects more than one ligament in the knee
Other treatment methods fail
Potential problems are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Continued pain, numbness, or stiffness in the knee
More surgery in the future if the treatment fails
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
The procedure is most often done with a minimally invasive procedure. Small incisions are made around the knee. Special tools will create paths in the incisions for surgical tools to pass.
If enough of the ligament is intact, the surgeon may simply secure the damaged PCL back onto the bone. Tears in the ligament itself will be repaired with sutures. The ligament may also be secured to the bone with sutures.
Reconstruction involves the use of tendon tissue from another part of the body or from a donor cadaver. The remains of the damaged ligament are cleaned away from the knee joint. Small incisions are made in the surface of the thighbone and shinbone inside the knee. The donated tendon is threaded through these incisions and secured with screws or staples. Over time the bone will grow over the tendon to form a tight connection.
Once the graft is securely in place, the doctor will test the knee’s range of motion.
When either procedure is done, the skin will be closed with stitches. Bandages will be placed on the knee.
Immediately After Procedure
Breathing, blood pressure, and vital signs will be monitored in a recovery room after the procedure.
How Long Will It Take?
Up to 2 hours depending on what needs to be done.
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
At the Care Center
While at the care center, the staff will:
Offer pain medications to keep you comfortable
Place ice packs on your knee to reduce swelling and pain
Teach you how to use crutches
Teach you light exercises to do at home
During your stay, the care staff will take steps to reduce your chance of infection such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
Washing your hands often and reminding visitors and healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incisions
Recovery will focus on pain relief and rehabilitation. A knee immobilizer and crutches will be used during early recovery to keep you mobile but decrease stress on the knee. You can gradually return to regular activity as recommended by your doctor.
Home exercise or physical therapy will be needed to maintain strength and mobility in the leg.
Complete recovery can take 6-9 months.
Follow your doctor's instructions.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or any yellowish discharge from the incision site
Swelling, pain, or heat in the calves, which may indicate a blood clot
Pain that can’t be controlled with medications you’ve been given
Numbness in the knee area
Persistent nausea or vomiting
New or worsening symptoms
If you think you have an emergency, call for emergency medical services right away.
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