RESUMO
The goal of our study is to evaluate the outcome of the conservative treatment from the point of young active athletic patients for an acute isolated posterior cruciate ligament injury [PCL]. Our prospective study was performed on a 16 young active patients with an average age of 24 [range from 20-32] years collected from differrent centers by closed comunication. The time of presentation at our hospital was an average of 14 weeks since injury [a range of 2 - 22]. All patients were involved in differrent kind of sports activity, 7 patients in addition doing manual labour work, the pre- injury level of their activity was an avearage of 6 points 4-8] according to Tegner scale. All patients were put under a conservative regimen, consisting of quadriceps muscle strengthening exercise and range of knee motion, provided pain and swelling disappear. The patients are then allowed to return to their sports and hard work activity. A special performance test are then begun to improve their athletic activity skills[low-high speed running turning, side stepping, picking up ball, kicking, jumping, vertical stair ascending and descending.]. At one year after the injury, all patients were evaluated and self questioned, and gave an answer of doing the test as Normal, near normal, abnormal and severely abnormal. 13 patinets were rated normal and nearly normal. And no patients were rated severly abnormal. The most affected test was high speed running [all patients], kicking with the normal limb in [10 patients] and vertical stair descending in [8 patients]. Only one patient bad return to his pre-injury level, pain and fear of reinjury with sense of instability was the reason of decreased activity in other patients. Despite of improved gravity posterior sag test in lateral view radiogram and in consequences of improved quadriceps muscle, the athletic performance skills was apparentlly affected. But in my believe conservative treatment still has a rule in management of acute isolated PCL injury