Author:
Piedade Sergio Rocha,Laurito Gerson Muraro,Migliorini Filippo,Maffulli Nicola
Abstract
Abstract
Background
Surgical reconstruction of the posterior cruciate ligament (PCL) can be technically challenging given the proximity of the popliteal artery to the PCL tibial insertion. This "no-safe zone" makes some knee surgeons less confident and willing to perform this surgical procedure.
Surgical technique
We present a PCL tibial inlay reconstruction technique using a set of instruments involving three tools (a slot cut, a bone plug positioner, and an impactor).
Conclusion
This set of instruments allows a more reproducible posteromedial approach and to produce a PCL tibial slot in a posterior cruciate ligament inlay reconstruction with the patient supine in bicruciate ligament injury reconstruction.
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine,Surgery
Reference18 articles.
1. Kew ME, Miller MD. Posterior cruciate ligament reconstruction in the multiple ligament injured knee. J Knee Surg. 2020;33(5):421–30.
2. Badet R, Demey G, Piedade SR. Reconstruction du ligament croise postérieur. In: Arthroscopie L, editor. Principes, objectifs et tunnelisation. 3rd ed. Paris: Elsevier; 2015. p. 1047–56.
3. Badet R, Verdonk P, Piedade SR. Technique in PCL reconstruction: mini posterior approach. In: Bonin M, Amendola A, Bellemans J, MacDonald S, Menetrey J, editors. The knee joint. Surgical: techniques and strategies. Paris: Springer; 2012. p. 411–5.
4. Martin RK, Melugin HP, Freychet B, Krych AJ, Stuart MJ, Levy BA. Posterior cruciate ligament all-inside reconstruction. Sports Med Arthrosc Rev. 2020;28(1):18–22.
5. Piedade SR, Mischan MM, Knee PCL. reconstruction: a tibial bed fixation (“inlay”) technique objective and subjective evaluation of a 30-cases series. Acta Ortop Bras. 2006;14(2):92–6.