Posterior Cruciate Ligament (PCL) Repair 

Severe PCL laxity, which results in a knee with significant posterior translation is quite unsettling to the patient, especially athletes due to the shifting of the tibia during running.

Patients will benefit from a PCL reconstruction, which re-establishes stability to the knee.

A ruptured ligament cannot be repaired.

It must be reconstructed using a graft.

 

Treatment

Unlike the an ACL tear, when the tearing of a PCL is less severe, athletes usually undergo repair surgery. When the tear is severe, the athlete must be operated on to recover function and resume their activity in sports. The tear can be repaired by reattaching the torn fibers to each other. If there aren’t enough fibers for reattachment, the PCL should be reconstructed.

If there is a good about of good tissue left in the knee, the surgeon usually performs repair surgery. Repair surgery is as follows:

  • The surgeon enters the knee arthroscopically.
  • A suture punch is then used to pass sutures into the remaining PCL.
  • The sutures are then guided through a tunnel that is bored from the insertion site of the PCL through the femoral condyle, exiting on the medial border of the femur.  
  • The sutures are then tied in a fisherman’s slip knot down to the bone, and then to each other.
  • After this, any associated capsular tearing is then repaired.

If it is determined that there isn’t enough good tissue to salvage the PCL, reconstruction surgery is performed.

Conditions

  • Anterior Cruciate Ligament
  • Bursitis – pes Anserive
  • Cartilage Injuries
  • Degenerative Joint Disease (Osteoarthritis)
  • Iliotibial Band Syndrome
  • Knee Sprains & Strains
  • Lateral Collateral Ligament Injuries
  • Loose Bodies
  • Medial Collateral Ligament (MCL) Injury
  • Meniscus Tears
  • Osgood Schlaater Disease
  • Osteochondritis Dissecans
  • Osteonecrosis of the Knee
  • Patella Tendonitis
  • Patella Tendon Rupture
  • Patellofemoral Pain Syndrome (Runner’s Knee)
  • Posterior Cruciate Ligament Injury (PCL)
  • Quadriceps Tendon Tear
  • Unstable Kneecap

Treatments

  • Anterior Cruciate Ligament Repair (ACL)
  • Arthroscopic Chondroplasty
  • Arthroscopic Meniscus Repair
  • Autologous Chondrocyte Transplantation
  • Bilateral Knee Replacement Surgery
  • Cartilage Transplant
  • Computer-Assisted Total Knee Arthrhoplasty
  • High Tibial Osteotomy
  • JOURNEY II Total Knee Replacement
  • Knee Arthroscopy
  • Lateral Collateral Ligament (LCL) Repair
  • Medial Collateral Ligament (MCL) Repair
  • Meniscus Repair
  • MPFL Reconstruction of the Patella
  • OCE – Repair of the Osteochondritis
  • Partial Knee Replacement
  • Partial Knee Resurfacing
  • Partial Menisectomy
  • Posterior Cruciate Ligament (PCL) Repair
  • Revision Knee Surgery
  • Subchondroplasty
  • Total Knee Replacement ~ VERILAST
  • Total Knee Replacement ~ VISIONAIRE
  • Uni-Compartmental Joint Repair

Conservative Treatments

The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Knee conditions and injuries.

Treatment Highlights

Innovative Sports Medicine

Dr. Paul Abeyta has elevated the procedural options for Meniscus Repair patients by offering the latest in innovative repair systems such as the Smith Nephew Fast Fix 360.

This system provides strong, suture repair without the need for a traditional open incision.  The latest in non-invasive Sports Medicine procedures.

Peninsula Bone & Joint Clinic

The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
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Disclaimer

The information found on this site is for general orthopedic purposes only. In a medical emergency please dial 911 or go to your nearest Emergency Room.