Posterior Cruciate Ligament (PCL) Reconstruction is a surgical procedure aimed at repairing or reconstructing the posterior cruciate ligament in the knee joint. The PCL is one of the major ligaments that stabilise the knee and plays a crucial role in its function. Damage to the PCL can result from sports injuries, accidents, or other traumatic events. PCL reconstruction is often recommended to restore stability and function to the knee joint.
During PCL reconstruction, Dr Shales will make small incisions around the knee joint. Using arthroscopic techniques, specialised instruments and a camera are inserted into the knee to visualise the damaged ligament and surrounding structures. The damaged PCL is then removed or repaired, and a graft is used to reconstruct the ligament. The graft may be taken from the patient's own tissue (autograft) or from a donor (allograft). The graft is secured in place using screws or other fixation devices. The incisions are then closed, and a sterile dressing is applied.
Before undergoing PCL reconstruction, patients will typically undergo a thorough evaluation by Dr Shales. This may include imaging tests such as X-rays or MRI scans to assess the extent of the injury. Patients may be advised to stop taking certain medications, such as blood thinners, in the days leading up to surgery. It is important to follow any pre-operative instructions provided by your surgeon, including fasting guidelines and medication protocols.
It is important to consider the post-operative period in regards to time of work, travel and living at home etc.
Following PCL reconstruction, patients will usually spend a period of time in the hospital for observation. Pain management techniques, including medications and ice therapy, will be used to keep patients comfortable during the initial recovery period. Patients will be instructed on how to care for their incisions and will be given guidance on when they can safely resume activities such as walking and driving.
Rehabilitation plays a crucial role in the success of PCL reconstruction surgery. Physiotherapy exercises will be prescribed to help restore strength, flexibility, and range of motion to the knee joint. Patients will work closely with a physiotherapist to gradually increase the intensity of their exercises and activities as they progress through the recovery process. Compliance with the prescribed rehabilitation program is essential for achieving optimal outcomes.
Like any surgical procedure, PCL reconstruction carries certain risks and potential complications. These may include:
- Infection
- Bleeding
- Blood clots
- Nerve or blood vessel injury
- Stiffness
- Weakness, or failure of the graft.
It is important for patients to discuss these risks with their surgeon prior to surgery and to report any unusual symptoms or concerns during the recovery process.
The majority of patients who undergo PCL reconstruction experience significant improvement in knee stability and function. However, the success of the surgery can depend on various factors, including the extent of the injury, the type of graft used, and the patient's commitment to rehabilitation. Most patients can expect to return to their normal activities within several months following surgery, although full recovery may take up to a year or more in some cases.
PCL reconstruction is a highly effective surgical option for restoring stability and function to the knee joint following PCL injury. By carefully following pre-operative instructions, participating in rehabilitation, and closely following post-operative guidelines, patients can achieve successful outcomes and regain an active and fulfilling lifestyle.
Here are a number of the questions we often get asked.
Most patients will stay one night in hospital.
You will be required to wear a specific brace known as a PCL Rebound brace. This brace is worn for approximately three months in the majority of cases.
