Posterior cruciate ligament (PCL) reconstruction is one of the more rare procedures in orthopedic surgery. It is often misdiagnosed because of its positioning at the back of the knee, which also makes the procedure difficult to perform. The posterior zones of the knee/back of the knee require intimate knowledge of how to work in that area while avoiding injury to the major neurovascular structures of the leg.

About the PCL

The PCL is one of the two ligaments that crosses the knee and is larger in dimension and thickness than the anterior cruciate ligament (ACL). It stabilizes the interaction of the femur, the thighbone, and the tibia (the lower leg bone) in flexion and is critical not just for premier athletes, but also for anyone who takes a step. Bracing and rehabilitation are the primary treatments for isolated loss of the PCL.

PCL Reconstruction

When rehabilitation of the PCL is not enough—for individuals and athletes whose goals include excellence not adaptation, PCL reconstruction may be the answer. Patients with combined ligament injuries including PCL plus ACL or medial collateral ligament (MCL), or very rarely lateral collateral ligament (LCL) are also potential surgical candidates for PCL reconstruction once the overall condition of the limb is stabilized.

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