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1) The surgeon inspects the knee and removes the remains of the old PCL.
2) The tissue graft is harvested arthroscopically and prepared for the replacement.
3) A hole is drilled from the front of the tibia diagonally into the knee and ends up where the ACL attaches to the top of the shin.
4)Next, the surgeon drills a hole in the femur.
4) The harvested replacement is attached to two long sutures, attached to the drill bit, and put into place.
5) The new ligament is then held into place by two screws.
6) The knee is checked for stability
Due to the lack of literature regarding the posterior cruciate ligament (PCL) and
surgical/rehabilitation outcomes a consistent prescription is unknown. Therefore
practitioner application of rehabilitation, as well as post-surgical treatment, is not
standardized. Because of the unknown outcomes with PCL injuries and surgeries, and a
lack of investigation on a broad based scale, a case study may aid in understanding some
of the intricacies in PCL surgery and rehabilitation. Thus, the purpose of this study was
to detail a PCL surgical and rehabilitation case study of a 24- year old male senior
collegiate football player who presented with unique complications post surgery and
during rehabilitation. The presentation of the athlete's complications include tibial screw
transfixation pain, prolonged healing of incisions, and residual laxity of the knee joint.
This case study may aid in further providing information regarding treatment options,
surgical procedures, and potential complications encountered in rehabilitation.
More at http://scholarworks.sjsu.edu/cgi/viewcontent.cgi?article=4713&context=etd_theses
Repair the PCL
1) The surgeon enters the knee arthroscopically.
2) A suture punch is then used to pass stitches into the remaining PCL.
3) The stitches are then tied in a fisherman's slip knot
5) After this, any associated capsular tearing is then repaired.
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