{"id":4369,"date":"2025-11-06T23:32:48","date_gmt":"2025-11-06T23:32:48","guid":{"rendered":"https:\/\/drmohamedsayed.com\/anterior-and-posterior-cruciate-ligament-acl-pcl-repair\/"},"modified":"2026-01-31T15:24:32","modified_gmt":"2026-01-31T15:24:32","slug":"anterior-and-posterior-cruciate-ligament-acl-pcl-repair","status":"publish","type":"page","link":"https:\/\/drmohamedsayed.com\/en\/anterior-and-posterior-cruciate-ligament-acl-pcl-repair\/","title":{"rendered":"Anterior and Posterior Cruciate Ligament (ACL & PCL) Repair"},"content":{"rendered":"\t\t
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Anterior and Posterior Cruciate Ligament (ACL & PCL) Repair<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\nCase Definition<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are among the most important ligaments responsible for knee joint stability.
Injuries to these ligaments commonly occur due to intense sports movements such as jumping, rapid twisting, or strong collisions.
In cases of complete rupture or functional failure, surgical repair or reconstruction of the cruciate ligament is performed using grafts taken from the patient\u2019s own body or synthetic grafts.<\/p>

Symptoms:<\/strong><\/p>

  • Sudden sharp pain at the moment of injury.<\/li>
  • Hearing a \u201cpopping\u201d sound inside the knee.<\/li>
  • Rapid swelling within hours.<\/li>
  • A feeling that the knee is \u201cgiving way\u201d or unable to bear weight.<\/li>
  • Difficulty bending or fully extending the knee.<\/li>
  • In PCL injuries: pain when climbing stairs or walking backward.<\/li><\/ul>

    Diagnosis:<\/strong><\/p>

    • Specialized clinical examination (Lachman test \u2013 posterior drawer test).<\/li>
    • X-ray imaging to rule out fractures.<\/li>
    • MRI to confirm the type of tear and determine whether it is partial or complete.<\/li>
    • In some cases, diagnostic arthroscopy is used to assess associated injuries (meniscus or other ligaments).<\/li><\/ul>

      Treatment Methods:<\/strong><\/p>

      In cases of partial tear:<\/strong><\/p>

      • Conservative treatment (physical therapy, muscle strengthening, knee brace).<\/li><\/ul>

        In cases of complete tear:<\/strong><\/p>

        • Cruciate ligament reconstruction surgery (ACL or PCL) using:
          • Patellar tendon graft or hamstring tendon graft.<\/li>
          • Internal fixation with screws or biological fixation devices.<\/li>
          • The procedure is usually performed arthroscopically, which minimizes incisions and speeds up recovery.<\/li><\/ul><\/li><\/ul>

            When is surgery recommended?<\/strong><\/p>

            • If the tear is complete.<\/li>
            • Clear loss of knee stability during movement.<\/li>
            • Failure of conservative treatment.<\/li>
            • If the patient is an athlete or wishes to return to a high level of activity.<\/li>
            • Presence of associated injuries such as meniscal tears or collateral ligament injuries.<\/li><\/ul>

              Post-Surgical Educational Guidelines:<\/strong><\/p>

              • Rest, ice application, and leg elevation are essential during the first week.<\/li>
              • A gradual physical therapy program begins a few days after surgery.<\/li>
              • Gradual return to activity usually starts after 3 months.<\/li>
              • Full return to sports is typically allowed after 6\u20139 months.<\/li>
              • Strict adherence to the rehabilitation program is the key to a successful outcome.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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