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J Knee Surg 2021; 34(05): 486-492
DOI: 10.1055/s-0040-1722696
Special Focus Section

Transtibial Posterior Cruciate Ligament Reconstruction

Gregory C. Fanelli
1   Department of Sports Medicine and Orthopaedics, Geisinger Health System, Danville, Pennsylvania
› Author Affiliations Funding None.
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Abstract

The keys to successful posterior cruciate ligament (PCL) reconstruction are to identify and treat all pathology, utilize strong graft material, accurately place tunnels in anatomic insertion sites, minimize graft bending, mechanical graft tensioning, secure graft fixation, and the appropriate postoperative rehabilitation program. Adherence to these technical principles results in successful single- and double-bundle arthroscopic transtibial tunnel PCL reconstruction based upon stress radiography, arthrometer, knee ligament rating scales, and patient satisfaction measurements. The purpose of this manuscript is to describe the arthroscopic transtibial tunnel posterior cruciate ligament reconstruction surgical technique.

Keywords

posterior cruciate ligament - allograft - transtibial tunnel technique - mechanical graft tensioning boot


Publication History

Received: 11 November 2020

Accepted: 29 November 2020

Article published online:
12 February 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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    • Recommended Readings

    • 1 Fanelli GC (ed). The Multiple Ligament Injured Knee : A Practical Guide to Management. Third Edition. Switzerland AG: Springer Nature; 2019
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    • 2 Fanelli GC (ed). Posterior Cruciate Ligament Injuries: A Practical Guide to Management. Second Edition. New York: Springer; 2015
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