Posterior cruciate ligament and multiligament injuries

PCL reconstruction and management of the knee with several injured ligaments, usually after high-energy trauma.

What it is: The posterior cruciate ligament keeps the tibia from sliding backwards. When two or more ligaments are injured at once, as in knee dislocations, the joint loses stability in several planes and there may be associated injuries to the menisci, cartilage, nerves or vessels.
When it is indicated: Isolated low-grade PCL injuries are usually treated without surgery. Reconstruction is indicated in high-grade injuries, persistent instability and multiligament injuries, where planned surgical treatment restores a stable knee.
How it is performed: The injured ligaments are reconstructed with grafts, arthroscopically and, when needed, through open approaches for the peripheral structures. The order and timing of each repair are planned according to the associated injuries.
Recovery: Recovery is longer than after an isolated ACL: brace protection, progressive motion and guided strengthening. Return to sport is decided on functional criteria.
Procedures the doctor performs: Posterior cruciate ligament (PCL) reconstruction
Management of multiligament knee injuries
Reconstruction of peripheral structures (medial collateral ligament and posterolateral corner)
Combined ligament, meniscus and cartilage procedures

Other procedures

This content is general information. It does not replace a medical assessment: every case is evaluated in consultation with physical examination and imaging.