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PCL Repair/Reconstruction

By:Maggie Bodington Period: 3

Anatomical Considerations

Nonsurgical Options

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  • Posterior Cruciate Ligament
  • Connect Tibia to Femur
  • RICE method
  • Immobilization
  • Physical Therapy

Physical Considerations

  • Knee movement
  • Knee stability
  • Muscular System

Reconstruction

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

Current Research On PCL Rehabilitation

  • A case study from San Jose State University

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

PRICE

  • National minimum=$5,400
  • National average=$13,000
  • National maximum=$36,700

Surgical Procedure

Repair the PCL

Demographics

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.

  • Can happen to anyone
  • Athletes typically

Changes and Risks

Structural Changes

Functional Changes

Changes to Everyday Life

  • Physical Therapy
  • Immobilizer
  • Tolerable amount of weight put onto the knee
  • Use of Crutches
  • Patellar Mobility

Work Cited

  • http://www.aafp.org/afp/1999/1201/afp19991201p2599-f12.jpg
  • http://myaclpclrecovery.blogspot.com/
  • http://www.sportsdoc.umn.edu/Patients_Folder/Knee/pcl%20recon/PCLreconstruction.htm
  • http://orthoinfo.aaos.org/topic.cfm?topic=a00420
  • http://www.sports-injury-info.com/image-files/acl-reconstruction-hamstring-graft.jpg
  • http://www.orthotrauma.com.au/knee-procedures/pcl-reconstruction/
  • http://scholarworks.sjsu.edu/cgi/viewcontent.cgi?article=4713&context=etd_theses
  • http://www.newchoicehealth.com/Directory/Procedure/130/Posterior%20Cruciate%20Ligament%20Knee%20Surgery
  • http://biomed.brown.edu/Courses/BI108/BI108_2004_Groups/Group06/Group6project/Therapy/SurgeryPCL.htm

bibliography

Conclusion

  • Reduced Swelling
  • Less pain
  • Ease Walking again
  • Rebuilding the ligament.

RISKS

  • No real risk
  • Temporary discomfort
  • Bruising
  • Numbness
  • What did I find most interesting?
  • What was my most important source?
  • What questions do I still have?
  • What should everyone have learned?

Statistics

  • PCL is injured in 3-20% of all sport knee injuries
  • RELATED PROCEDURES:
  • ACL Repair, ACL Reconstruction, MCL Repair, MCL Reconstruction, LCL Repair, LCL Reconstruction
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