India Hospital Tour by We Care India Medical tourism Company Surgery and Treatment in India by We Care India, Mumbai, Delhi, Chennai, Bangalore Surgery and Treatment in India at Low Cost JCI / ISO accredited hospital and experienced surgeon advantages
Medical tourism by We Care India for Low Cost Surgery and Treatment  at Hospitals in India your healthcare is now our concerns
Call: +91 9029304141 (10 am. To 8 pm. IST)
Post an EnquiryMedical Quote, Free No Obligation for Medical tourism Patients in India( Preferred )
(Only for international patients seeking treatment in India)
Only in India Hospital Tour
Treatment & Surgery
Orthopedic Surgery
ACL Reconstruction
Arthroscopic Debridement    Of Septic Arthritis
Arthroscopic Lateral    Release
Arthroscopic Menisectomy
Autologus Cartilage Cell    Transplant
High Tibial Osteotomy
Patello Femoral    Replacement
PCL Reconstruction
Meniscal Repair
Lower Femoral Osteotomy
Revision ACL    Reconstruction
Elbow Replacement
Hip Replacement
Hip Resurfacing
Knee Replacement
Shoulder Replacement
Sports Injury Surgery
Cost Guide
Orthopedic Hospitals
Orthopedic Doctors

PCL Reconstruction

Bookmark and Share Go Back Print This Page Add to Favorites
Home > Orthopedic Surgery > Arthroscopy > PCL Reconstruction

Posterior Cruciate Ligament Repair and Reconstruction Surgery

Unlike the an ACL tear, when the tearing of a PCL is less severe, athletes usually undergo repair surgery. When the tear is severe, the athlete must be operated on to recover function and resume their activity in sports. The tear can be repaired by reattaching the torn fibers to each other. If there aren't enough fibers for reattachment, the PCL should be reconstructed.

If there is a good about of good tissue left in the knee, the surgeon usually performs repair surgery.

Repair surgery is as follows : -

  1. The surgeon enters the knee arthroscopically.
  2. A suture punch is then used to pass sutures into the remaining PCL.
  3. The sutures are then guided through a tunnel that is bored from the insertion site of the PCL through the femoral condyle, exiting on the medial border of the femur.
  4. The sutures are then tied in a fisherman's slip knot down to the bone, and then to each other.
  5. After this, any associated capsular tearing is then repaired.

If it is determined that there isn't enough good tissue to salvage the PCL, reconstruction surgery is performed.

  1. The surgeon inspects the knee and removes the remains of the old PCL using an arthroscopic shaver.
  2. The graft which is used for reconstruction is harvested arthroscopically and prepared for the replacement. Usually the patellar tendon or the semitendonosis and gracilis tendon autografts are used in athletes.
  3. After harvesting the tissue, a hole is drilled from the front of the tibia diagonally into the knee and ends up where the ACL attaches to the top of the shin. Next, the sugeon drills a hole in the femur between the two heads running diagonally and up from the middle to the outside. The PCL surgery differs from the ACL in that the bones are drilled from opposite sides. If both were to be performed at ones, the drills would form an X in the knee. This to simulate the actual way the ACL and PCL run in the knee.
  4. The harvested replacement is attached to two long sutures, attached to the drill bit, and pulled into place through the holes which were just drilled.
  5. The new ligament is then held into place by two bioabsorbable screws or metallic screws.
  6. The knee is checked for stability and the surgeon carries out any other repairs.

PCL Reconstruction Surgery, Pcl, Reconstruction Surgery

PCL Reconstruction

The posterior cruciate ligament, or PCL, is one of the main ligaments in the knee and injury to this ligament may be seen in a variety of settings. In general, most partial or isolated PCL tears can be treated non-operatively because the PCL, with its synovial covering, has some ability to heal. However, surgical reconstruction is usually recommended for PCL tears that occur in combination with other ligament tears of the knee.


It is usually recommended that acute PCL tears in combination with and ACL, posterolateral corner, or MCL complex tears be reconstructed within the first three weeks of injury. In rare occasions, the PCL may be repaired when it occurs as a peel off or bone avulsion injury. In patients with chronic PCL injuries, who are symptomatic for pain and instability, reconstruction may be indicated. It is important in these chronic injuries that a workup for possible concurrent other ligament injuries, as well as an assessment of the extremity allignment, be performed.

Pcl, Reconstruction Surgery, Pcl Reconstruction, Pcl Reconstruction Surgery India

MRI of a torn PCL MRI of a torn PCL

PCL Reconstruction Surgery, Pcl Reconstruction, Pcl Reconstruction Surgery India, Knee Injury

normal PCL

^ Back to Top


A variety of graft choices are available to surgeons that include autogenous patellar or quadriceps tendon with bone blocks, or hamstring tendons. In addition, patellar tendon or achilles tendon allografts (from donors) may be used. The main portion of the PCL which needs to be reconstructed is the anterolateral bundles. Arthroscopic assisted or open PCL reconstructions involve removing the remaining native PCL, with care to preserve the ligament of Wrisberg if it is intact.

A tunnel is drilled at the anatomic attachment site of the anterolateral bundle at the anteromedial wall of the itercondylar notch, in line with the roof of the notch and about 6-8 mm from the articular surface of the medial femoral condyle. The tibial attachment site is then prepared by identifying the normal attachment site of the PCL at the bottom of the PCL facet.

A tibial tunnel is then drilled, at approximately a 75º angle and about 6 cm from the joint line, from anteriorly to posteriorly. Once the tunnels are drilled, sharp edges and soft tissues around the tunnel exit site are smoothed off with the use of a rasp. The graft is then passed into the joint and fixed in its femoral tunnel (usually with a cannulated interference screw). The graft is then tensioned distally while the knee is cycled several times to remove any slack in the graft.

The graft is then fixed to the tibia, usually with staples, while the knee is flexed to 90º, distal traction is placed on the graft, and an anterior force is applied to the tibia. After fixation, the posterior drawer is assessed to verify a return of normal posterior stability to the knee, and the surgical incisions are closed.


Postoperatively, it is recommended that the patient remain in full extension for a period of 2 to 4 weeks for isolated PCL reconstructions. In multiligament reconstructions, the patient is often placed into a continuous passive motion (CPM) machine for range of motion. Patients are non weight bearing with quad sets and straight leg raises in the immobilizer only started the 1st postoperative day.

It is especially important for PCL reconstruction patients to not have any posterior sag of their tibia which would stretch out the graft. Pillows or other support under the tibia is required for the first two months after surgery. After 8 weeks, weight bearing is initiated and more active rehabilitation is started.

The list of of Orthopedic Surgery in India is as follows : -

Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Kolkata Apollo Gleneagles Hospital, Kolkata, India
Apollo Hospital, Goa, India Apollo Hospital, Goa, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Wockhardt Hospital Mumbai, India Wockhardt Hospital, Mumbai, India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Fortis Hospital Noida, India Fortis Hospital, Noida, India
Manipal Hospital, Bangalore, India Manipal Hospital, Bangalore, India
MIOT Hospital, Chennai, India MIOT Hospital, Chennai, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Devki Devi Heart and Vascular  hospital,  Delhi, India Max Devki Devi Heart and Vascular hospital, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India

^ Back to Top

For more information, medical assessment and medical quote send your detailed medical history and medical reports
as email attachment to
Email : -
Call: +91 9029304141 (10 am. To 8 pm. IST)
(Only for international patients seeking treatment in India)

Send Response

Gender : Age :


For a detailed evaluation send patient’s medical reports / X rays / doctors notes to
Patient Story

Patient Storys

Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare conditions.

Read    : Robert's Story
See All : Patient's Success Stories

Related Link

Group Websites

Find us on

Medical Tourism Search Information For Professionals Resources
Hospitals By :


Neurosurgery, Brain Surgery, Epilepsy Surgery, Brain Tumor Surgery in India

SSL Certificate
Neurosurgery, Heart surgery, Brain Surgery , Brain Tumor Surgery in India

Copyright © 2009 - 2010 We Care India. All Rights Reserved.
Home | About Us | Site Map | Get a Quote | Disclaimer | Advertise With Us | Contact Us


PCL Reconstruction Surgery, Pcl, Reconstruction Surgery, Pcl Reconstruction, Pcl Reconstruction Surgery India, Posterior Cruciate Ligament, Knee Injury, Nutrition, Supplement, Sports Medicine, India Hospital Tour, Posterior Cruciate Ligament Reconstruction, Pcl Reconstruction System, India Hospital, Affordable Anterior Cruciate Ligament Hospital, Healthcare India, Reconstructive Knee Surgery Price, Anterior Cruciate Ligament Surgery India, Cost Anterior Cruciate Ligament Surgery