手术后我什么时候可以洗澡?

You need to keep your dressing on and knee dry until your first post-op visit, 通常在手术后一到两周. 到那时，你可能就可以洗澡了. But you'll need to wait three to four weeks from your surgery day before submerging your knee in a bathtub or swimming pool.

我应该什么时候开始物理治疗?

It's best to start as soon as possible after surgery, generally within the first one to two weeks.

我要拄拐杖多久?

大多数患者使用拐杖约六周, though the time varies depending on your precise injury and how quickly you heal.

冷敷装置能很好地缓解疼痛吗?

你有很多糖霜选择, including applying regular ice packs and even packages of frozen vegetables. Cold therapy machines are convenient and effective, as well as somewhat expensive.

你要缝两到三针，用绷带包扎. 它们将在手术后一到两周被移除.

我应该什么时候预约复诊?

Plan to see your doctor one to two weeks after surgery for an exam and suture removal.

PCL修复手术后我什么时候可以返回学校或工作?

Most patients can return to school or desk work three to five days after surgery. Working from home, if possible, makes recovery easier in the beginning. 从事体力要求很高的工作, you'll need more time for a safe recovery and medical clearance before returning to work.

PCL手术后我什么时候可以开车?

那要看哪条腿动了手术. 如果是你的左膝受伤，而你开的是自动驾驶汽车, you can drive once you're no longer taking narcotic pain medication and feel capable of driving safely. 如果你的右膝做了手术, you'll need to wait three to six weeks after surgery before getting behind the wheel.

PCL 眼泪

Overview

The posterior cruciate ligament (PCL) connects the femur (thighbone) to the tibia (shinbone). 位于膝盖深处和关节后面, it's about 2 inches long and works to limit backward motion of the tibia. 剧烈扭曲或过度伸展膝盖可导致前韧带撕裂, leaving the knee unstable and potentially unable to support the person's weight. 作为膝盖最强壮的韧带, 除非膝盖受到有力的打击，否则PCL通常不会撕裂, such as when the shin or knee strikes the dashboard during a car accident. 因为这与身体创伤事件有关, 膝前韧带撕裂常伴有其他膝关节韧带损伤. 有些人在打橄榄球时撕裂了PCL, 足球或其他身体接触运动, 但这是相对罕见的.

我们治疗PCL撕裂的方法

UCSF is committed to helping patients with PCL tears return to the highest level of activity possible, whether that means a daily walk or reporting for practice with the NFL. 我们的团队包括整形外科十大赌博平台排行榜, 初级保健运动医学十大赌博平台排行榜, 物理治疗师和运动教练. These specialists work together to tailor a treatment plan to each patient's needs and goals.

We treat most simple PCL tears with physical therapy and, if helpful, a brace. 除了提供有关伤害的信息和教育, 加州大学旧金山分校提供全方位的物理治疗, 包括特别设计的锻炼方案, functional activity training and neuromuscular reeducation (techniques that condition the area to move normally again).

If the injury is severe or accompanied by damage to other knee ligaments, 我们可能会建议进行重建手术.

奖 & 识别

是全国顶尖的十大赌博平台排行榜之一
全国最好的骨科护理之一

迹象 & 症状

PCL tears have a variety of 症状, but the most obvious are knee pain, swelling and instability.

诊断

如果你的膝盖很肿，彻底的检查可能会很困难, 但某些测试可以帮助弄清问题所在. In the "posterior drawer test," the doctor pushes the shin back while the knee is bent 90 degrees. 如果胫骨的位移超过5毫米，PCL很可能已经撕裂. Your doctor may also perform other tests to help determine whether the ligament is fully torn, 部分撕裂或单纯扭伤的.

除了, your doctor may use certain imaging tests to examine your injury more closely, 包括:

x射线. These may be ordered to make sure there are no fractured bones in your knee.
磁共振成像(MRI). 准确率接近90%, MRI是确定PCL是否撕裂和损伤的有效工具, 如果是这样的话, 损害的程度. It will also provide information on the other knee ligaments and the meniscus (knee cartilage).

治疗

Simple PCL tears are usually treated with physical therapy rather than surgery. 一开始可以使用大括号, and a well-designed physical therapy program helps you regain function and stability. The time it takes you to recover will depend on your injury's severity; full recovery ranges from a few weeks to a few months.

Surgery is often considered if additional ligaments are torn or if you haven't regained knee stability after completing physical therapy. 做手术的决定通常是个人的选择, 你和你的十大赌博平台排行榜会考虑你的年龄等因素, 身体状况和运动目标.

The usual surgery is a minimally invasive procedure in which a surgeon reconstructs your PCL using a graft from another part of your body (an autograft) or a cadaver (an allograft). The graft serves as scaffolding for the ligament to grow new tissue; the type of graft used is based on patient and surgeon preference.

不到两个小时, the surgery is done with an arthroscope (an endoscope for use in joints), 通过膝盖周围的小切口. A tiny camera is inserted to allow the surgeon to see all of the knee's structures and to appropriately position the new ligament. You'll be under general anesthesia (completely asleep) and will also be given a nerve block, an injection that interrupts pain signals in the area and lessens post-op pain.

Most patients return home on the same day and use crutches and a knee brace for at least six weeks. One to two weeks after surgery, the stitches are removed and a physical therapy program is started. 坚持这个计划是实现完全康复的关键.

常见问题

手术后我什么时候可以洗澡?
You need to keep your dressing on and knee dry until your first post-op visit, 通常在手术后一到两周. 到那时，你可能就可以洗澡了. But you'll need to wait three to four weeks from your surgery day before submerging your knee in a bathtub or swimming pool.
我应该什么时候开始物理治疗?
It's best to start as soon as possible after surgery, generally within the first one to two weeks.
我要拄拐杖多久?
大多数患者使用拐杖约六周, though the time varies depending on your precise injury and how quickly you heal.
冷敷装置能很好地缓解疼痛吗?
你有很多糖霜选择, including applying regular ice packs and even packages of frozen vegetables. Cold therapy machines are convenient and effective, as well as somewhat expensive.
我要缝针吗??
你要缝两到三针，用绷带包扎. 它们将在手术后一到两周被移除.
我应该什么时候预约复诊?
Plan to see your doctor one to two weeks after surgery for an exam and suture removal.
PCL修复手术后我什么时候可以返回学校或工作?
Most patients can return to school or desk work three to five days after surgery. Working from home, if possible, makes recovery easier in the beginning. 从事体力要求很高的工作, you'll need more time for a safe recovery and medical clearance before returning to work.
PCL手术后我什么时候可以开车?
那要看哪条腿动了手术. 如果是你的左膝受伤，而你开的是自动驾驶汽车, you can drive once you're no longer taking narcotic pain medication and feel capable of driving safely. 如果你的右膝做了手术, you'll need to wait three to six weeks after surgery before getting behind the wheel.

加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.