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Doctor insights on: Pcl Reconstruction

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Dr. Allen Lu
29 doctors shared insights

Pcl Reconstruction (Overview)

Posterior cruciate ligament (pcl) reconstruction is surgery to replace (not repair) the ligament that keeps the leg from translating backwards behind the thighbone. This is typically done when the patient is functional unstable on the leg due to a tear of the pcl. The ligament is replaced by a tendon graft either taken from the patient themselves or one prepared by a tissue bank from a cadaver.


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How is a PCL reconstruction performed?

How is a PCL reconstruction performed?

Same as ACL: There are many different methods for PCL reconstructions, depending on the surgeon you go to. There are single versus double bundle, bone block versus soft tissue, and various numbers are sizes of incisions. I tend to perform an all-inside minimally invasive PCL reconstruction using a double bundle configuration. Most of my patients have minimal pain after surgery, however, there rehab is the same. ...Read more

Dr. Allen Lu
29 doctors shared insights

Pcl Reconstruction (Overview)

Posterior cruciate ligament (pcl) reconstruction is surgery to replace (not repair) the ligament that keeps the leg from translating backwards behind the thighbone. This is typically done when the patient is functional unstable on the leg due to a tear of the pcl. The ligament is replaced by a tendon graft either taken from the patient themselves or one prepared by a tissue bank from a cadaver.


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What is the definition or description of: PCL reconstruction?

What is the definition or description of: PCL reconstruction?

Ligament surgery : Posterior cruciate ligament (pcl) reconstruction is surgery to replace (not repair) the ligament that keeps the leg from translating backwards behind the thighbone. This is typically done when the patient is functional unstable on the leg due to a tear of the pcl. The ligament is replaced by a tendon graft either taken from the patient themselves or one prepared by a tissue bank from a cadaver. ...Read more

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What are some things that could make PCL reconstruction dangerous?

What are some things that could make PCL reconstruction dangerous?

Nerves and vessels: The PCL rests outside of the knee joint and right next to the nerves and blood vessels that supply much of your leg, ankle, and foot. Any PCL reconstruction done poorly puts your blood vessels and nerves at risk. It is better to have experts perform PCL reconstructions because they will tend to do more of them. In general, PCL tears are associated with bigger injuries, which carries higher risks. ...Read more

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Dr. Allen Lu Dr. Lu
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What's PCL reconstruction surgery?

Dr. Allen Lu Dr. Lu
1 doctor agreed:
What's PCL reconstruction surgery?

Restoring stability: There are many different methods for PCL reconstructions, depending on the surgeon you go to. There are single versus double bundle, bone block versus soft tissue, and various numbers are sizes of incisions. I tend to perform an all-inside minimally invasive PCL reconstruction using a double bundle configuration. Most of my patients have minimal pain after surgery, however, there rehab is the same. ...Read more

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Will I get a medical discharge from the army after having PCL reconstruction?

Will I get a medical discharge from the army after having PCL reconstruction?

Not if knee stable: Returning to full duty in the army is definitely expected after successful PCL reconstruction surgery. You will be on a T3 (liothyronine) profile for upwards of 3-6 months, and gradually allowed to return to all training activities and be worldwide deployable by 9-12 months. I performed over 100 PCL reconstructions before retiring from the army and the majority of the soldiers avoided a medical discharge. ...Read more

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Can you tell me which are all the benefits of having a PCL reconstruction surgery?

Can you tell me which are all the benefits of having a PCL reconstruction surgery?

If you have PCL: Injury , you know your problem already that needs correction , posterior cruciate ligament ( PCL ) maintains stability of knee joint along with acl , prevents the roll back of femur , even in total knee arthroplasty , some surgeons preserve this ligament ...Read more

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What are all the benefits of having a PCL reconstruction surgery vs just leaving it alone?

What are all the benefits of having a PCL reconstruction surgery vs just leaving it alone?

Quite variable: A PCL partially heals in a slightly looser position. Some patients have minimal difficulty with a PCL tear while others have instability sensations and weak push-off strength. Still others have rotational instability. Because of this, the PCL discussion needs to be personalized to your specific situation. This should really be addressed with a PCL sports medicine specialist. ...Read more

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Is it possible that i get a medical discharge from the army after having PCL reconstruction?

Are you disabled ?: Then after army medical examination , if they found you unfit to perform your duties , yes possible. See your army medical officer for evaluation..Remember army has lots of desk jobs ...Read more

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Which doctors have experience with ACL and PCL reconstruction?

Acl pcl: An orthopedic doctor who has completed a sports medicine fellowship can take care of an acl/pcl injury. ...Read more

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Is is beneficial to allow a grade II MCL tear to heal before PCL reconstruction? How much pre-op healing time is most beneficial?

Is is beneficial to allow a grade II MCL tear to heal before PCL reconstruction? How much pre-op healing time is most beneficial?

In most cases: Although surgeons may differ in their approach, many feel that 4-6 wks of "healing time " is beneficial before posterolateral corner repairs or PCL repairs. ...Read more

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Is it possible that i walk again after acl/pcl/lcl reconstruction surgery after 6 weeks?

Is it possible that i walk again after acl/pcl/lcl reconstruction surgery after 6 weeks?

You should: You should be able to walk by 6 weeks after surgery. But consult your surgeon, because everyone has different protocols. ...Read more

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Hey docs, just wanted to know if I could walk again after acl/pcl/lcl reconstruction surgery after 6 weeks?

Depends : You had a very big surgery. It really depends on your docs protocol, how it was fixed, and a few other factors. I generally let patients bear some weight and have them use crutches ...Read more

Dr. Allen Lu Dr. Lu
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When is PCL knee reconstruction necessary after a sports injury?

Dr. Allen Lu Dr. Lu
2 doctors agreed:
When is PCL knee reconstruction necessary after a sports injury?

Variable: A PCL partially heals in a slightly looser position. Some patients have minimal difficulty with a PCL tear while others have instability sensations and weak push-off strength. Still others have rotational instability. Because of this, the PCL discussion needs to be personalized to your specific situation. This should really be addressed with a PCL sports medicine specialist. ...Read more

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Stabbing pain above and around knee cap when tightening and straightening the leg. Pcl and lcl reconstruction 6 years ago?

Stabbing pain above and around knee cap when tightening and straightening the leg. Pcl and lcl reconstruction 6 years ago?

PLC blowout: Poss post traumatic arthritis of the patellofemoral joint but more likely scarring of the superior patellar pouch and intra articular aspect of the knee. See your orthopedic surgeon. Sometimes arthroscopy with adhesinolysis and/or chondroplasty can be helpful if conservative measures fail. ...Read more

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Can you use an X-ray to diagnose a PCL tear to see if you need reconstruction?

Can you use an X-ray to diagnose a PCL tear to see if you need reconstruction?

Maybe: The best diagnostic method is a good physical exam to determine how loose the knee is. Mri is the most detailed imaging that will tell you what ligaments are injured. An xray won't show you the PCL tear but it can show you how far back the tibia sits relative to the femur if you have a comparison view of the other knee and it is a dynamic view of someone pushing the leg back during xray. ...Read more

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I have chronic partial acl+pcl tear+laxity(50 days delayayed treatment). It has been 8 months can it be treated 100% with surgery/reconstruction.

I have chronic partial acl+pcl tear+laxity(50 days delayayed treatment). It has been 8 months can it be treated 100% with surgery/reconstruction.

Yes and no: Surgery is always iffy & is forever. There are world class soccer players playing with acl ruptures. They made dedicated efforts to develop strong muscles of upper & lower leg. Physical therapist can be helpful in this. The principle is when a joint is loose, the way to accommodate is to develop "gorilla" muscles around joint so that muscles take over what damaged ligaments can no longer do. ...Read more

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Acl ruptured & attached to the pcl. I play lots of football. Should i definitely push for ACL reconstruction? Surgeon said i may be ok without?

Acl ruptured & attached to the pcl. I play lots of football. Should i definitely push for ACL reconstruction? Surgeon said i may be ok without?

Opt for ACL: Yes, technically you may be to function without an acl, but you're 26 years old and if it were me, i'd opt to have mine reconstructed, especially if you want to play recreational sports. You're putting a lot of shear stress on your meniscus in an acl deficient knee. We can't recreate normal biomechanics ever, but i think acl competency will give you more longevity on that native knee. ...Read more

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What is the process of repairing a pcl?

What is the process of repairing a pcl?

Arthroscopic surgery: For the most part, PCL reconstruction is carried out arthroscopically. The procedure typically takes about 90 minutes and most patients can go home the same day. Postoperatively, physical therapy is required for approximately 6-8 weeks. Return to sports can happen typically after 6 months. ...Read more

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Can you get by without having a PCL surgery?

More often than not: Acl surgery is an effective and safe treatment for ACL injury. Often those results are transferred to PCL surgery. Not so. Pcl surgery is difficult, not reproducible, and often unsuccessful. Unless a patient has significant instability, rehabilitation, strength and activity modification are the treatments of choice. ...Read more

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Posterior Cruciate Ligament (Definition)

The posterior cruciate ligament (pcl) is one of the main central ligaments within the knee that originates on the femur and inserts on the back of the tibia. The PCL prevents the ...Read more