Treatment of Posterior Cruciate Ligament Injury with Chronic Multi-Ligament Knee Lesions

Clinical Scenario

This protocol addresses patients with chronic posterior cruciate ligament (PCL) injury complicated by multi-ligament lesions of the knee — a presentation that goes beyond isolated PCL damage and involves concurrent ligamentous instability requiring a more complex management approach.

Presenting Situation

Symptomatic PCL lesions are common in chronic tears, particularly when accompanied by other ligament injuries, and typically present with pain, swelling, and meaningful limitations in activity. The appropriate treatment strategy depends on the severity of the PCL injury, the presence of multiple ligament injuries, the existence of severe associated injuries, the patient's understanding of available options, and their specific needs for physical activity.

Treatment Approach

The evidence-based approach in this setting involves a surgical reconstruction strategy targeting the multiple affected ligaments of the knee. The specific technique selection, sequencing, and graft considerations depend on individual patient and injury factors.

The complete structured regimen — including procedural details and clinical decision points — is available via the full protocol below.