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<p>Posterior cruciate ligament (PCL) injuries are diagnostically and therapeutically demanding. Treatment decisions depend on the injury pattern, the extent of posterior instability and concomitant injuries. Isolated PCL tears with a posterior tibial translation less than 8 mm have good healing potential when managed with consistent bracing and quadriceps-focused rehabilitation. Displaced bony avulsions require surgical refixation. Combined injury patterns involving the posterolateral or posteromedial corner as well as multiligament knee injuries warrant surgical treatment. This article provides a&#xa0;practice-oriented overview of the currently available evidence and formulates an algorithm for making decisions.</p>

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Verletzungen des hinteren Kreuzbands: To cut or not to cut?

  • 期刊论文

  • 发表日期：

    2026年5月29日

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  • Svenja A. Höger,
  • René Schroedter

摘要

Posterior cruciate ligament (PCL) injuries are diagnostically and therapeutically demanding. Treatment decisions depend on the injury pattern, the extent of posterior instability and concomitant injuries. Isolated PCL tears with a posterior tibial translation less than 8 mm have good healing potential when managed with consistent bracing and quadriceps-focused rehabilitation. Displaced bony avulsions require surgical refixation. Combined injury patterns involving the posterolateral or posteromedial corner as well as multiligament knee injuries warrant surgical treatment. This article provides a practice-oriented overview of the currently available evidence and formulates an algorithm for making decisions.