PCL(Posterior cruciate ligament) is one of the crucial ligaments present inside the knee joint and cross each other to form an “X” with ACL(Anterior cruciate ligament) in front of the knee that runs obliquely inside the knee joint and connects the thigh bone (femur) to the lower leg bone (Tibia). It is purposed to provide strength and stability to the knee joint and controls the back and forth motion of your knee.
PCL Reconstruction is a specialized surgical procedure in which the torn posterior cruciate ligament is repaired or replaced by a normal functioning tendon/tissue, harvested from the other part of the patient’s knee, so as to restore its knee stability and normal function after an injury. This surgical intervention is performed arthroscopically also popularly known as key- hole or minimally invasive surgery.
PCL injuries can be acute or chronic. Acute PCL injury is due to abrupt injury whereas chronic injury involves the injury that develops over time.
It is stated that PCL injuries are more often due to a strike to the knee when it is bent.
The most common causes of PCL injuries include:
Other most common cause of PCL injuries includes sports such as:
PCL injury can be treated and managed by one of the following treatment options depending upon the grade of injury.
During PCL reconstruction procedure the damaged ligament will removed and replaced by the surgeon instead of repairing it. The surgeon replaces the damaged ligament with the segment of tendon tissue analogous to a ligament that connects muscle to bone. The replaced tissue is termed as graft. A piece of tendon is used by the surgeon from your other knee or from a deceased donor.
This procedure is done under general anesthesia. Your surgeon will make a hole or excavate into your femur bone and tibia bone to precisely locate the graft which will protect your bones with screws. The graft will provide as gibbet on which new ligament tissue can grow.
After the procedure, when you will get back from anesthesia, on the same day you will be permitted to go home. Before going home your surgeon will ask you to put on a knee brace to shield the graft.
You can be considered as a good candidate for PCL reconstruction surgery if
The risk of injury to the PCL ligament can be reduced significantly by performing daily calisthenics for improving balance, muscle power and agility. In addition to that if you are doing plyometric exercises, such as balance and jumping drills it will boost up your neuromuscular conditioning and muscular reactions which will reduce the risk of PCL injury.
PCL reconstruction is a minimal invasive surgery, which offers speedy recovery and more rapid return to functional activities. With intensive rehabilitation you can expect good recovery and return back to the functional level within three months. However it may take 6 months to start the usual sports activities.
The cost of PCL reconstruction in India depends on the type of procedure, surgeon and the facility where you choose to get the surgery done. Enlisted below are the cost of PCL surgery in India
| Sr No | Name of Procedure | Cost in USD in India |
|---|---|---|
| 1 | PCL Evaluation Package | 500 – 100 |
| 2 | Open PCL Repair surgery | 2500 – 3500 |
| 3 | Open PCL Reconstruction | 3500 – 4900 |
| 4 | Arthroscopic(Minimally Invasive) PCL Repair | 2500 – 3500 |
| 5 | Arthroscopic(Minimally Invasive) PCL Reconstruction | 3700 – 5000 |
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