Advanced Arthroscopic PCL Reconstruction by Dr. Hemendra Agrawal

PCL reconstruction is a specialized arthroscopic surgery performed to replace a torn posterior cruciate ligament (PCL) in the knee. The PCL is a key ligament that stabilizes the knee by preventing the tibia from moving backward relative to the femur.
PCL injuries are less common than ACL injuries and usually occur due to high-impact trauma such as road traffic accidents, sports injuries, or falls. A damaged PCL can result in knee instability, pain, swelling, and difficulty in walking or performing physical activities.
Dr. Hemendra Agrawal performs advanced PCL reconstruction using minimally invasive arthroscopic techniques. The torn ligament is replaced with a graft (typically hamstring tendon or allograft), restoring knee stability and normal biomechanics.
This approach ensures smaller incisions, less pain, faster recovery, and improved long-term outcomes compared to traditional open surgery.
When is this procedure recommended?
Complete PCL tear causing knee instability
High-impact injuries (dashboard injury in accidents)
Sports-related ligament injuries
Chronic knee instability due to untreated PCL injury
Combined ligament injuries (ACL, PCL, MCL, LCL)
Persistent knee pain and swelling
Difficulty walking downhill or climbing stairs
Failure of conservative treatment
A detailed walkthrough of the surgical process
Clinical examination, MRI scan, and pre-surgical planning including graft selection.
The procedure is performed under spinal or general anesthesia. The knee is prepared for arthroscopy.
An arthroscope is inserted to evaluate the knee joint and confirm ligament damage.
A tendon graft (hamstring or allograft) is prepared for reconstruction.
Precise tunnels are created in the femur and tibia to allow accurate placement of the graft.
The graft is passed through the tunnels and fixed using specialized fixation devices.
Incisions are closed, and a knee brace is applied for post-operative support.
How this procedure transforms your life
Restores knee stability and function
Prevents long-term joint damage
Minimally invasive with small incisions
Reduced pain and faster recovery
Effective for complex ligament injuries
Improves walking and activity performance
High success rate with modern techniques
Enhances overall knee strength and confidence
What to expect during your recovery journey
Pain control, swelling management, use of knee brace, and limited weight-bearing.
Gradual increase in knee movement with physiotherapy support.
Muscle strengthening, balance training, and improved mobility.
Return to daily activities and light sports.
Return to sports depending on rehabilitation progress and knee stability.
Explore our full range of joint replacement procedures
Get answers to common questions about this procedure
Book a consultation with Dr. Hemendra Agrawal to discuss your condition and explore the best treatment options for you.