20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

POSTERIOR CRUCIATE LIGAMENT (PCL) RECONSTRUCTION

The posterior cruciate ligament (PCL) is one of the four major ligaments in the knee. The ligament runs along the back of the knee from the end of the femur (thigh bone) to the top of the tibia (shin bone). The PCL is the strongest ligament in the knee, and the primary role of the PCL is to provide stability in multiple different planes. The PCL is particularly important in providing stability to the knee during activities involving pivoting and bending the knee.

Some patients who sustain a Grade III tear (complete tear) with instability of the knee require surgical intervention. The goal of PCL surgery is to stabilize the knee and prevent abnormal motion of the tibia bone. Surgery is also designed to prevent arthritis (many patients with PCL instability develop arthritis). The most reliable way to restore stability is to use a graft (healthy tissue from another location) to reconstruct the PCL. If a reconstruction is performed, Dr. Keller can use either healthy tissue from a donor (allograft tissue) or from the patient’s own body (autograft). Dr. Keller uses a minimally invasive, arthroscopic technique to perform the procedure. The new tissue must be placed in the right position in the knee and must be tensioned appropriately to restore stability to the knee.

Post-Operative Rehabilitation

Following surgery, patients are placed in a special PCL brace that stabilizes the knee. Range of motion is initially limited to full extension and then 0-90 degrees of passive motion starting four weeks after surgery. Dr. Keller recommends starting physical therapy two weeks after surgery. Physical therapy focuses on reducing swelling in the knee and restoring strength to the knee, with particular emphasis placed on the quadriceps. Dr. Keller recommends advancing the physical therapy program to cutting, pivoting, and sport-specific activities only after the patient has achieved certain goals (for example, appropriate quadriceps strength, appropriate range of motion, etc.). Most patients start sport-specific training approximately 4-6 months after surgery. Most patients return to competitive sports approximately six months after surgery. It is very important to follow the rehabilitation process carefully to achieve the best outcome.