Revision Posterior Cruciate Ligament Reconstruction with a Modified Tibial-Inlay Double-Bundle...

Revision Posterior Cruciate Ligament Reconstruction with a Modified Tibial-Inlay Double-Bundle Technique

by Sang Hak Lee, Young-Bok Jung, Sung-Min Rhee, Han-Jun Lee, and Ho-Joong Jung

JBJS Essent Surg TechVolume 4(1):e1January 8, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

Sang Hak Lee et al. JBJS Essent Surg Tech 2014;4:e1


The Achilles tendon allograft consists of a tibial bone block and two tendon tails secured with a locking whipstitch with number-5 nonabsorbable suture.



The center of the anterolateral femoral tunnel is placed 5 to 6 mm proximal to the articular cartilage at the one o’clock position.



The operating table is tilted down on the affected side for the posterior approach.



The medial border of the medial head of the gastrocnemius muscle is identified, and the interval between it and the semimembranosus tendon is developed, exposing the posterior aspect of the

joint capsule.



The bone block of the tibial attachment site of the PCL is detached with use of a curved osteotome, and a trough is created.



A 6.5-mm cannulated screw and a spiked washer are used to fix the graft to the tibia.



Revision Posterior Cruciate Ligament Reconstruction with a Modified Tibial-Inlay Double-Bundle...

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