Arthroscopic Primary Repair of Posterior Cruciate Ligament Injuries

Arthroscopic Primary Repair of Posterior Cruciate Ligament Injuries

“…[45][46][47][48] The sagittal, coronal, and axial planes of the MRI are visualized to detect any femoral or tibial bony avulsions or "peeloff" lesions. Most of the bony avulsion fractures are reported to be at the tibial side, 49,50 whereas most of the soft tissue avulsions tend to be from the femoral side. 33,50,51 There is no standardized protocol on how best to evaluate PCL tears, but in general the PCL should be followed in both proximal and distal directions to assess if the bundles attach to the bone (Fig.…”

“…34,35 Open-chain hamstring exercises should be avoided for at least 4-6 months. 50,61 At 6 and 9 months follow-ups, the muscle strength and ROM are determined. After these follow-ups, gradual return to sport is indicated when the quadriceps and hamstring strength are at least 4/5, when there is full active extension, and active flexion approximates the intact knee up to 151.…”