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PCL injury Treatment

The four ligaments that stabilize the knee are:

  • The anterior cruciate
  • The posterior cruciate ligament
  • The lateral ligaments
  • Medial collateral ligaments

The PCL has been described as one of the main stabilizers of the knee. It is broader and stronger than the ACL. It connects the femur (thigh bone) to the tibia (shin bone). Its function is to prevent the posterior translation of the tibia relative to the femur.

Posterior Cruciate Ligament (PCL) FAQ

What Causes Posterior Cruciate Ligament (PCL) Injuries?

PCL injuries commonly occur in sports such as **football, soccer, basketball, and skiing**. A **forceful hyperextension of the knee** or a **direct blow just below the knee cap** can disrupt the PCL, leading to knee pain and injury.

For example:

  • A **football player** who gets tackled with a direct hit to the knee may **hyperextend** the limb and sustain a **PCL injury**.
  • A **basketball player** landing directly on a **bent knee** could tear their PCL, resulting in knee pain.

What Are the Symptoms of Posterior Cruciate Ligament (PCL) Injury?

  • **Pain** in the knee
  • A feeling of **instability** in the knee

What Are the Treatment Options for Posterior Cruciate Ligament (PCL) Injury?

Nonsurgical Treatment

If you have **only injured the PCL**, your knee may **heal without surgery**. Your doctor may recommend the following nonsurgical options:

  • RICE Therapy: Rest, Ice, Compression, and Elevation can help reduce swelling and speed up recovery.
  • Immobilization: A **brace** may be used to prevent knee movement, and **crutches** may be recommended to avoid putting weight on the leg.
  • Physical Therapy: After swelling decreases, a **rehabilitation program** can help restore **knee function** and strengthen the **quadriceps and leg muscles**.

Surgical Treatment

Surgery may be necessary if you have **multiple ligament injuries**, such as a **knee dislocation with combined ligament tears**, including the PCL.

  • Rebuilding the Ligament: A torn PCL is typically **rebuilt using a tissue graft**, either from your **own body** or a **cadaver**. The graft takes **months to fully heal** into the bone.
  • Minimally Invasive Procedure: Surgery is performed **arthroscopically** using **small incisions**, which results in:
    • **Less pain**
    • **Quicker recovery**
    • **Shorter hospital stays**
  • Advancements in Surgical Techniques: Improved methods allow for better **post-surgery mobility**, enabling patients to **resume a wider range of activities** after rehabilitation.