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A Journal on Sports Medicine

Official Journal of the Italian Sports Medicine Federation
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Medicina dello Sport 2007 December;60(4):531-45

language: English, Italian

Rehabilitation after posterior cruciate ligament surgery

Giombini A. 1, Ciatti R. 2, Di Cesare A. 3, Tranquilli C. 1

1 Istituto Nazionale di Medicina e Scienza dello Sport, Unità di Fisiochinesiterapia e Rieducazione Funzionale – Roma
2 Divisione di Ortopedia e Traumatologia - Ospedale S. Giovanni Evangelista – Tivoli- Roma
3 Dipartimento di Scienze dell’apparato locomotore Cattedra di Medicina Fisica e Riabilitazione, Università di Roma “La Sapienza”


Current knowledge and treatment of posterior cruciate ligament (PCL) injuries continue to lag behind those of anterior cruciate ligament injuries. There is still a lack of consensus concerning the natural history, surgical indications, surgical technique and post-operative rehabilitation of PCL lesions. Recent anatomical and biomechanical studies have improved our understanding of this ligament and how to manage its care. This article outlines the basic rehabilitation principles to be followed after surgical reconstruction of the PCL. In correct PCL rehabilitation, reducing the risks of excessive graft tension is essential: early weight bearing in extension, strict avoidance of early maximal flexion, open kinetic chain exercises of quadriceps (0°-60°), strict avoidance of open kinetic chain exercises of flexor muscles during the first 90 days after surgery, closed-kinetic chain exercises (0°-60°) in standing position with torso leaning against a wall.

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