PCL Reconstruction Success Rate
Dr. LaPrade has found that a double bundle PCL reconstruction has been extremely effective in restoring knee stability back to the patient both objectively with PCL stress x-rays as well as subjectively based on patients independently evaluating their outcome scores.
Dr. LaPrade’s surgical PCL reconstruction technique involves the creation of a closed socket tunnel in the femur for both the anterolateral and posteromedial bundles of the PCL. The graft is fixed in that location and pulled distally down the tibia. The anterolateral bundle is fixed at 90° of knee flexion with an anterior force on the knee and distal traction on the graft. After the anterolateral bundle is fixed to the tibia at 90° of knee flexion, the posteromedial bundle is next fixed in full extension.
PCL Rehab Program
Our PCL rehab program allows patients to initiate prone knee flexion at 0-90° on day one. The patients use a PCL brace, preferably a PCL Rebound brace, for 6 months postoperatively at all times, except to shower or change clothes, to reduce the posterior gravitational stress to the knee. We also recommend that high level athletes utilize a PCL Rebound brace at least through the completion of the first competitive season after the PCL reconstruction to unload the PCL graft and protect it while it remodels.
We have found that our rehabilitation program, which may be considered aggressive by other treatment centers, has not resulted in any of our grafts stretching out over time and has demonstrated a much quicker return of knee motion, decreased risk of knee stiffness and higher level of function.