PCL POSTERIOR CRUCIATE LIGAMENT OF KNEE JOINT SPORTS INJURY: HOW TO DEAL WITH ,ARTHROSCOPIC PCL RECONSTRUCTION MANAGEMENT OF SPORTS INJURIES #aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur #allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon To Know more about ACL Injury, Click the links below: 1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all" https://youtu.be/oWkIr8IXvr8 2. Everything about ACL Injury tear surgery in Hindi I https://youtu.be/bqpjkAkwZ14 3. Best Screw for ACL tear surgery in Hindi https://youtu.be/1LGpU1NHiIs 4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir https://youtu.be/SIAPWiMbOqs 5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ? https://youtu.be/NEJRPKskJTI 6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ? https://youtu.be/EXpgy19Jxzw 7. PRP injection therapy in Partial ACL TEARs https://youtu.be/qyG1EYgS87E Dr.RAJAT JANGIR(Asso Prof.) Senior Consultant Arthroscopy and Joint Replacement (Specialist in Shoulder Knee Hip Surgery) Ligament and Joints Clinic 67/34 Mansarovar Jaipur Whatsapp: shorturl.at/gnAEP Appointment: +91 8104855900 Email: ligamentsurgeon@gmail.com Google Page: https://g.page/KNEE-Shoulder-SURGERY?... Facebook: https://www.facebook.com/Ligamentandj... * Vast experience and specialisation in the field of Arthroscopy and sports surgery. * M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad * Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea * Diploma in Sports Medicine from InternationaI Olympic Committee * Invited as Athlete Medical Doctor at Rio Olympic 2016 * Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'

1. Posterior Cruciate ligament
How to deal with
DR.RAJAT JANGIR
Associate Prof. Unit Head, MGH, Jaipur
Consultant orthopaedic and Arthroscopy Surgeon
Ligament and Joints Clinic
Jaipur

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PCL ANATOMY

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• CENTRAL STABILISER
• PCL and QUADRICEPS are
dynamic partners in
stabilising the knee in saggital
plane
PCL

4. PCL INJURY
Mechanism and Types
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• If your knee was bent, straight, or twisted when it
was injured
• How your knee felt after the injury
• If you've had any symptoms since you were injured
HISTOTRY

6. Mechanism of injury
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1.Most common-classicalcauseofisolatedinjury
Dashboardinjury 50 %

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Mechanism of injury
2.HyperextendedKnee

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Mechanism of injury
3.Hyperflexedknee( fall )

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FREQUENTLY COMBINED WITH P0STERO-LATERAL CORNER
PLC
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Clinical Evaluation

11. Clinical evaluation
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Posterior sag

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13. Clinical evaluation
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Posterior Drawer’s test

14. Clinical evaluation
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• Posterior Drawer’s test
Normally,the
medialtibialplateau
lies1 cm infront of
theanterioraspect of
themedial femoral
condyle.

15. Clinical evaluation
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The Quadriceps Active Test

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Investigations
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Xray
• PCL AVULSION
• ASSOCIATED BONY INJURIES

17. MRI
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MOST SENSITIVE

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19. Types of injuries
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Acute isolated PCL
Uncommon,diagnosisiseasilymissed,withmildsymptoms
Acute combined injury to PLC* & PCL.
CommonPeronealNerve
*LATERAL CO-LATERAL AND POPLITEO-FIBU

20. Types of injuries
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Chronic isolated PCL
Instabilityin 50%,giving awayin 25%
Morethan50%returnto daily activitieswithno complaint
Chronic combined injury to PLC & PCL
Moreseverewithamoresignificanthistory of instability and pain.

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Management of PCL Injuries

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ACUTE INJURY
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Conservative treatment
PCL JACK BRACE
Splinting in extension

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25. Conservative treatment
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Regain90%of quadricepsand hamstring strength
• Weight-bearing- 4-6 weeks
• Returnto sportshould 8to10 weeks frominjury

26. Surgical Treatment
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• HIGH GRADE INJURIES (GRADE 3)
• OTHERASSOCIATEDINJURIES-PLC
• BONY AVULSION
• CHRONIC LESION : SYMPTOMATIC

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1. AUTOGRAFT
• Patellar tendon
• Quadriceps tendon
• Hamstrings tendon
2. ALLOGRAFTS
Types of Graft
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28. Arthroscopic PCL reconstruction
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FOUR PORTALS
• HIGH AL portal
• HIGH AM portal
• HIGH PM portal
• LOW AL portal

29. HIGH POSTEROMEDIAL
PORTAL
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30. FEMORAL TUNNEL
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31. TIBIAL TUNNEL

32. GRAFT
PASSAGE/FIXATION

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Rehabilitation
Incontrastto ACLreconstruction,gravitytendsto stretchthePCL graft.
• PRONEPOSITION
• SLOWERPACE,comparedto theacceleratedrehabilitation of ACL injury
• INDIVISUALISE
Surgical Treatment

35. THANK YOU……..!
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