S/P PCL Repair

Definition:
It is possible for the PCL to heal on its own. Surgery is usually required in complete tears of the ligament. Surgery usually takes place after a few weeks, in order to allow swelling to decrease and regular motion to return to the knee. A procedure called ligament reconstruction is used to replace the torn PCL with a new ligament, which is usually a graft taken from the hamstring or Achilles tendon from a host cadaver. An arthroscope allows a complete evaluation of the entire knee joint, including the knee cap, the cartilage surfaces, the meniscus, the ligaments, and the joint lining. Then, the new ligament is attached to the bone of the thigh and lower leg with screws to hold it in place.

Symptoms
  • Knee pain
  • Swelling in the knee
  • Loss of ROM
  • Knee instabilty
Causes
  • "Dashboard injury"- knee is bent, and an object forcefully strikes the shin backwards
  • Motor vehicle accident
  • Fall to the front of the knee
Treatment
  • Massage to reduce swelling
  • Passive ROM and active ROM
  • Quadriceps activation
  • Knee stabilization exercises
  • Lower extremity strengthening
  • Gait program
  • Return to running program
  • Avoid open chain hamstring exercises
S/P PCL Repair Phase I

Purchase Phase

  • Heel Slides
  • Passive Knee Extension
  • Patella Mobilization
  • Passive Knee Extension Quad Sets Combo
  • Vmo Sets 30 60 90
  • Body Weight Squats
  • Heel Raises
  • Crutch Walking
  • Single Leg Bridge
  • Step Throughs
  • DVT Clot Instructions

S/P PCL Repair Phase II

Purchase Phase

  • Step Overs
  • Single Leg Wall Sit
  • Straight Leg Bridge
  • Lunge Matrix
  • Stairmaster X 20 Minutes
  • Single Leg Speed Skater
  • Adductor Straddle
  • Lotus
  • Sit On Feet
  • Gait II

S/P PCL Repair Phase III

Purchase Phase

  • Step Overs
  • Lunge Matrix
  • Speed Skaters
  • Single Leg Sit Up Squat
  • 3-Dot Squat 2 Hands
  • Single Leg Lateral Box Jump
  • Single Leg Hop On Dina Disc
  • Single Leg Tuck Jump