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Abstract The PCL is approximately twice as strong as the anterior cruciate ligament (ACL) and represents the strongest ligament of the knee, which plays an important role in stabilizing the knee joint. A rupture of PCL often leads to an increased posterior tibial translation with full laxity at 90 degrees of flexion and a small rotation or lateral instability. This results in posterior subluxation of the tibia, wherein an abnormal pressure on the in medial and patellofemoral compartments, is created, leading to chronic pain and early cartilage degenerative arthritis and increased risk of meniscal tear. Due to its strong fibers structure, PCL ruptures are less frequent than ruptures of other knee ligaments. An avulsion fracture of the PCL usually occurs in a small subgroup of PCL injuries where is tibial avulsion fractures are more common than femoral avulsion fractures. Key Words : Anterior tibial – fabella - popliteal tendon . |