Hello Doc is there any way to rejoin avulsion of PCL tibia attachment without surgery. I dnt wanna do it. As per MRI report it showing PCL avulsion of tibia attachment. I can walk, can use upstare, only the difficulties I am facing is that not able to fold my leg completely if I do so the complete area ok knee pain. Kindly suggest me something best.
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There is no way we can fix avulsion of pcl without surgery. If the avulsion fragment is undisplaced or minimally displaced, surgery can be avoided but knee should be in full extension with knee immobiliser for 4 to 6 weeks. In case the avulsion fragment is displaced, surgery gives the best result. If it is not treated surgically, knee will remain unstable resulting in patellofemoral osteoarthritis, anterior knee pain, difficulty in using stairs. However these problems will develop after few months or years. Please send your x-ray's, so that correct advice can be given.
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The course of rehabilitation for a pcl injury is dependent on the degree of injury. An isolated injury of grade I or grade ii may be treated with physical therapy. A grade I or grade ii injury is usually treated with a brief period of knee splinting in extension, followed by early rom and a quadriceps and hamstring strengthening program. Recovery is quick, and many patients are able to return to normal function in about 4 weeks. Closed kinetic chain exercises and open kinetic chain exercises are recommended. The use of continuous passive motion (cpm) machines for early knee mobilization is an option. A good outcome is correlated with the maintenance of good quadriceps strength. Please consult a physiotherapist for detail assessment and management of your pcl avulsion. Best wishes.
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