This protocol addresses acute isolated posterior cruciate ligament injury at Grade I (1–5 mm posterior tibial translation) or Grade II (6–10 mm posterior tibial translation), in patients who are not young active individuals and who have undergone an initial conservative management course without achieving verified PCL healing.
An initial conservative line was undertaken: PCL knee brace for 3 months combined with supervised physiotherapy, anti-inflammatory medications, range-of-motion training, and gradual strengthening of the quadriceps, hamstrings, hip adductors, and core muscles. At the 15-week review, PCL healing could not be verified by clinical examination and/or stress radiograph. This unmet goal is the escalation trigger for the current protocol.
The next step is surgical reconstruction of the posterior cruciate ligament. The choice of graft material and operative technique are the key clinical decisions — the full protocol outlines which options and technical considerations apply in this situation.
DOI: 10.1097/JS9.0000000000002416