Posterior Cruciate Ligament Injuries: The University of Virginia Experience

This article summarizes our approach to the management of posterior cruciate ligament (PCL) injuries treated at the University of Virginia. A thoughtful methodology of treating patients with PCL injuries is essential to guarantee accurate diagnoses, appropriate triage into nonsurgical or surgical options, and optimal rehabilitation outcomes. In most patients, concomitant injuries provide a challenge and determine the selected therapeutic options. With advanced surgical techniques in PCL reconstruction, we have embraced the in-lay technique to achieve our preferred graft position. Furthermore, our rehabilitation protocols have emphasized early prone passive range of motion. Our clinical results have been promising and characterized with the help of advanced gait analyses. We encourage those involved in the treatment of ligamentous knee injuries to participate in well-designed clinical studies to enhance evidence-based knowledge regarding the therapeutic options for PCL injuries.