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KneeInstability after PCL avulsion Polio
I am a 45-year-old male with PPRP@RLL with equinus deformity, ~6 cm limb length discrepancy & knee hyperextension while walking. After deformity correction, I was able to walk without hand-to-thigh gait and was fine till 2021 Dec. Later I developed progressive arthritis of the foot/ankle, knee, and hip. 3 months ago I had a fall. Initial CT/MRI showed an undisplaced PCL avulsion fracture. A repeat CT showed a comminuted minimally displaced PCL avulsion fracture (largest  ~0.9 × 1.1 × 0.7 cm with ~2.5 mm displacement). After ~2 months, a third CT reported a partially united PCL avulsion fracture with no displaced fragment. I was with a knee brace for 3 weeks and was advised full weight bearing with a walker one week ago. However, when I load the leg, I feel marked knee instability (shaky / giving-way sensation) and poor control, even with the walker, little pain knee backside. I am seeking guidance on expected functional recovery and reasons for persistent instability in my knee.
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Will need images of recent Xray/ CT scan films
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PCL Avulsion Need Surgery
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Every PCL avulsion fracture doesn’t require surgery. Clinical examination is of utmost importance to decide the next step. Physiotherapy exercises are very helpful in undisplaced fractures.
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Quadriceps strengthening exercises Sports injury specialist opinion
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Pcl avulsion require surgical fixation
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Ligament injury is reason for instability If 3 month treatment, does not give stability, than better to go for surgery
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.