Review ArticlesComplications of Posterior Cruciate Ligament SurgeryZawodny, Sarah R. MD; Miller, Mark D. MDAuthor Information Department of Orthopedic Surgery, University of Virginia, Charlottesville, VA Reprints: Mark D. Miller, MD, Department of Orthopedic Surgery, University of Virginia, P.O. Box 800159, Charlottesville, VA (e-mail: [email protected]). Sports Medicine and Arthroscopy Review: December 2010 - Volume 18 - Issue 4 - p 269-274 doi: 10.1097/JSA.0b013e3181f2f4c2 Buy Metrics Abstract In addition to standard risks associated with all orthopedic surgical procedures, posterior cruciate ligament (PCL) reconstruction poses some relatively unique potential complications. These complications arise from a combination of several factors: the relative infrequency of PCL injuries, the lack of knowledge and experience in treating them, the proximity of neurovascular structures to the PCL, and the technically demanding nature of reconstructive procedures. This article discusses the anatomy, pathogenesis, and prevention of intraoperative and postoperative complications of PCL surgery including neurovascular injury, osteonecrosis, fracture, motion loss, and persistent laxity. © 2010 Lippincott Williams & Wilkins, Inc.