“To speak to medical professionals who specialise in sports injury was a breath of fresh air. The experience for me was the best it could be, especially as an athlete with a potentially career-ending injury. Everyone was caring and I was given the hope I so badly needed. It was now possible that... Read More

“Everything was wonderful. I am now completely pain free and absolutely thrilled.”

“Thank you for the excellent operation you did on my knee. It has healed up really well with only a very small scar left. Most of the acute pain is now gone and each week it pains a little less. I am looking forward to the long (pain free) walks I used to do before. So many thanks, you are the... Read More

“Thank you so much for seeing me and treating me so quickly after my skiing accident! I was amazed and impressed that you managed to arrange my surgery so quickly. Mum and I have a nickname for you - GOD!”

“'Thank you' seems inadequate words for the debt of gratitude I owe you all. Your expertise and skills heal body and soul. Your care and kindness humble me.”

“I felt fully engaged from the start and actually found the whole process quite enjoyable! I felt informed without being patronised, well prepared, both by the consultation with Neil, the paperwork and booklets. The outcome has exceeded my expectations and the care was tremendous, as was the pain... Read More

“Neil performed a PCL replacement in my right knee back in 2000. At the time, it was a procedure that few knee surgeons had the skills to perform. He fully informed me of the risks attached to the procedure, the likelihood of success and allowed me to take my time to decide on how I wished to... Read More

“You fitted me with a completely new knee on 20th June. It is absolutely amazing and I'm getting on and off, riding and jumping with ease. It has brought back all the possibilities in retirement that had come to an end with a bad knee. It's not yet four months since the operation.....lets hope the... Read More

“Now that I seem to be well on the road to recovery, I'd like to thank you personally for my new partial knee replacement on 31st July 2017. Having not quite had the courage to watch the full operation on your website, I am nevertheless aware of the enormous skill and expertise required for this... Read More

Posterior Cruciate Ligament Injury

Posterior Cruciate Ligament Injury

 

Posterior cruciate ligament injury happens far less often than injury to the anterior cruciate ligament (ACL). The posterior cruciate ligament and ACL help to hold your knee together. If either ligament is torn, you may experience pain, swelling and a feeling of instability.

Ligaments are strong bands of tissue that attach one bone to another. The cruciate ligaments connect the thighbone (femur) to the shinbone (tibia). The anterior and posterior cruciate ligaments form a cross in the centre of the knee.

While a posterior cruciate ligament injury generally causes less pain, disability and knee instability than does an ACL tear, it can still cause knee pain for several weeks or months.

Causes include road accidents and contact sports. A dashboard injury occurs when the driver’s or passenger’s bent knee slams against the dashboard, pushing in the shinbone just below the knee and causing the posterior cruciate ligament to tear. Athletes in sports such as football and rugby may tear their posterior cruciate ligament when they fall on a bent knee with their foot pointed down. The shinbone hits the ground first and it moves backward. Being tackled when your knee is bent can also cause this injury.

The main symptoms following a PCL injury are pain at the back of the knee. Instability is less common than in ACL injuries. In people who have injured the PCL months or years before, pain at the front of the knee can become a problem as the knee struggles to maintain stability and the kneecap cartilage wears out.

What treatments are there for Posterior Crucial Ligament Injury?

Treatment depends on the extent of your injury and whether it just happened or if you’ve had it for a while. In most cases, surgery isn’t required.

A physiotherapist can teach you exercises that will help make your knee stronger and improve its function and stability. You may also need a knee brace or crutches during your rehabilitation.

Aspiration uses a syringe to remove fluid from the joint. Aspiration may be performed if you have significant swelling of the knee that interferes with the joint’s range of motion and your ability to use your knee or leg muscles.

If your injury is severe, especially if it’s combined with other torn knee ligaments, cartilage damage or a broken bone, you may need surgery to reconstruct the ligament. Surgery may also be considered if you have persistent episodes of knee instability despite appropriate rehabilitation. This surgery can usually be performed arthroscopically by inserting a camera and long, slender surgical instrument through several small incisions around the knee.