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PCL tears typically do not occur alone and are most often associated with multiligamentous knee injuries.
✅ Treatment Strategies
- Historically, treatments have ranged from ligament reconstruction to primary repair.
- Recently, arthroscopic primary PCL repair has emerged as a favorable option due to its minimally invasive nature.
- This technique preserves native tissue, minimizes donor-site morbidity, and allows for early mobilization.
✅ Benefits of Arthroscopic Repair
- Arthroscopic PCL repair, while not suitable for every patient, provides a viable and less traumatic alternative to reconstruction, particularly for those with proximal or distal avulsion tears.
- The benefits include low failure rates, improved knee stability, and generally positive subjective outcomes.
✅ Importance of Patient Selection
- Successful outcomes from PCL repair largely depend on choosing the right patients.
- Ideal candidates are those with proximal or distal tears, ensuring enough remnant tissue for proper reattachment.
- The tissue must be strong enough to endure intrasubstance suturing and tensioning back to its femoral or tibial insertion sites, which is crucial for the repair’s durability and effectiveness.
J Knee Surg 2021;34:478–485
"Visualizing MSK Radiology: A Practical Guide to Radiology Mastery"
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#PCLrepair, #Peel-off, #PCinjury,
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