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PCL Reconstruction

PCL Reconstruction Surgery in India

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PCL Reconstruction Surgery in India

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.


Causes

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:

  • Strike to the bent knee against dashboard during road traffic accidents
  • Falling down on flexed knee

Other most common cause of PCL injuries includes sports such as:

  • Football
  • Baseball
  • Soccer
  • Skiing

Treatment Options

PCL injury can be treated and managed by one of the following treatment options depending upon the grade of injury.

  • The grades of PCL injury can be categorize as follows:
    • Grade I: The PCL has an incomplete tear
    • Grade II: The tendon is incompletely torn and is looser than in Grade I
    • Grade III: The tendon is totally torn and the knee winds up unsteady
    • Grade IV: The PCL is harmed alongside another tendon in the knee

  • Non-Surgical Treatment
    • Stabilization and Protective Bracing: In Acute or Chronic PCL tear, one can use tailor made knee braces and stabilizers to lessen the stress on the injured ligament and curbing the movement at knee and thereby aiding in healing process.
    • Conservative Management: This is indicated in cases of Acute and Chronic PCL tear, in which proper rest is advisable with the limited to no mobility in order to protect the joint and healing the ligament.
    • Physiotherapy: Conservative Management often combined with the intensive rehabilitation program to regain the normal range of motion, increase stability and strength at the joint so as to perform activities of daily living.

  • Surgical Treatment
    Treatment for PCL tear often depends on the grade of PCL tear or injury. If it is partial or complete tear with significant knee instability, then the patient may require surgical intervention. Surgery for PCL tear can be classified into two types:
    • PCL Repair Surgery: In this procedure, the partially or completely torn PCL ligament is repaired by sewing it back together using sutures. However, studies have shown that the PCL repair generally fails over the time and may require revision surgery or reconstruction.
    • PCL Reconstruction Surgery: In this procedure, the torn PCL ligament is replaced by using a substitute graft taken from either of the following sources:
      • Hamstrings Muscle Tendon AutoGraft taken from the patient's own knee
      • Patellar Tendon AutoGraft taken from the patient's own knee
      • Quadriceps Muscle Tendon AutoGraft
      • Allograft that is a graft taken from a cadaver’s, Thigh or Heels

Procedure

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.


Are you a Candidate?

You can be considered as a good candidate for PCL reconstruction surgery if

  • You have got your knee injured as a result of some high impact sport activities
  • You are facing frequent episodes of disabling knee instability in the form of buckling or knee giving away while walking
  • No relief in the symptoms in spite of conservative management or rehabilitation

Prevention

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.


Expected Result

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.


Cost of PCL Reconstruction Surgery in India

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 USD 500 – USD 100
2 Open PCL Repair surgery USD 2500 – USD 3500
3 Open PCL Reconstruction USD 3500 – USD 4900
4 Arthroscopic(Minimally Invasive) PCL Repair USD 2500 – USD 3500
5 Arthroscopic(Minimally Invasive) PCL Reconstruction USD 3700 – USD 5000

Why MedicoExperts?

We at MedicoExperts believe in assisting you to get well-versed with complete information about PCL Reconstruction Surgery in India. Being thorough with all the benefits from the appropriate treatment option for PCL Injury, will help you make an informed choice.

We also provide you a platform for online video consultation so as to connect you with our chosen at the best orthopedic hospital in India for all your concerns and queries regarding PCL injury treatment. We assure you hassle free arrangements for your medical travel, evaluations, treatment, recover and stay in India. With the expertise of MedicoExperts, you can be rest assured about your complete safety, comfort and wonderful experience of medical tourism in India.

For more details and information, you may send your medical history and diagnostic reports to enquiry@medicoexperts.com for a swift response from our team.