Management of Posterior Cruciate Ligament Injury: A Concise Overview of Current Indications, Techniques, and Outcomes

The posterior cruciate ligament (PCL) is crucial for normal knee kinematics and stability. An improved understanding of the long-term consequences of PCL injuries has led to greater focus on accurate injury diagnosis and improvements in surgical instrumentation and techniques. However, controversy remains regarding indications for surgical versus nonsurgical management, as well as optimal surgical techniques such as PCL repair versus reconstruction, single-bundle versus double-bundle reconstruction, transtibial versus tibial inlay fixation, and graft choice. Recognition of concomitant injuries and posterior tibial slope, as well as considerations in pediatric patients, warrants additional attention to ensure satisfactory outcomes. The purpose of this review was to evaluate the current state of the literature on PCL injuries and variables associated with injury decision making based on reported outcomes.