Dr. Mark-- I read about Sawblade's pcl avulsion fracture that he suffered a few years ago and he seems to have recovered fairly well w/o surgery. Two weeks ago I wiped out on a sheet of ice on a Sierra Nevada logging road and doc says I have a PCL avulsion fracture on the tibia (minimally displaced) and a grade II+ MCL tear. I'm a 40 year-old male with a history of a few minor LCL injuries in the same knee over the past 10 years but otherwise the knee hasn't troubled me. The doc, who is a first-year orthopedic specialist, said tha that half the research says to operate, and half says to not operate and just deal with knee instability and other bearable problems as they arise later down the road. He said surgery is entirely up to me and offered no professional opinion on the matter. I asked for a second opinion but he said there is no time--the window is closing to operate and I have to decide in the next few days. I can certainly post radiograph/MRI images next week after I get them but I'd really like to know what your first thought would be about this injury. I don't expect you offer any absolute answer given the limited information I'm providing--I just wanted to know what an experienced doc would say about the first-line approach to take.