Arthroscopic Management of Combined Posterior Cruciate Ligament Injuries: A Systematic Review

Document Type : Original Article

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Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446626

Abstract

Background: One of the four main ligaments of the knee, the Posterior Cruciate Ligament (PCL) keeps the tibia in place on the femur. The ligaments begin on the inside of the medial femoral condyle, near the intercondylar notch, and end on the inside of the tibial plateau. Its purpose is to stop the tibia from sliding backwards on the femur.
Aim and objectives: To conduct a meta-analysis and systematic review of the literature on arthroscopic treatment techniques, results, and problems associated with combined PCL injuries.
Subjects and methods: Searches in several databases, including PubMed, the Cochrane Bone and Muscle Trauma Group Specialized Register, MED-LINE, and The Cochrane Library, uncovered articles about arthroscopic treatment of combined posterior cruciate ligament (PCL) injuries that were published between 2010 and 2024. 
Results: The current state of knowledge suggests that when it comes to numerous ligament injuries in the knee, surgical treatment is superior to nonsurgical options. Single or double bundle PCL and ACL reconstruction utilizing allografts or autografts was carried out, with graft selection, bundle structure, femoral tunnel drilling, and graft fixation being the main concerns.
Conclusion: Postoperative problems occurred in a small percentage of patients (12.2%), and extra therapy was necessary for 46 patients (6.4%). There is a higher chance of getting satisfactory functional results with combined surgical reconstruction of combined lesions, which is why we recommend it. Preliminary reports indicated a low complication rate, strong knee stability, and a high percentage of satisfying outcomes.

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