Arthroscopic posterior cruciate ligament tibial inlay reconstruction

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Sung-Jae KimHyoung-Sik Kim

Abstract

Tibial inlay posterior cruciate ligament (PCL) reconstruction was developed to avoid "killer turn" of the tibial tunnel. It requires a surgical dissection to popliteal fossa and changing of the patient's position during operation. We report an arthroscopic tibial inlay PCL reconstruction technique to avoid morbidity from an open procedure. Achilles tendon-bone allograft was used for reconstruction, and bone plug was designed in a cylindrical shape vertical to the tendon direction for tibial fixation. The intra-articular length of PCL is measured, and the proximal graft is prepared with a whipstitch and an EndoPearl (Linvatec, Largo, FL) is connected for enhancing femoral fixation. After tibial graft fixation with an absorbable interference screw, tibial site fixation was reinforced with suture anchoring to a washer on the anterolateral surface of the tibia. Femoral fixation was done with another screw. It was possible to reproduce the original concept of PCL tibial inlay graft with our arthroscopic technique.

References

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Jun 1, 1994·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S J Kim, B H Min
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Apr 6, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S J KimH S Kim
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Citations

Mar 16, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yong Seuk LeeBun Jung Kang
Feb 23, 2013·Current Reviews in Musculoskeletal Medicine·Scott R MontgomeryFrank A Petrigliano
Dec 9, 2010·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Zuzana MachotkaLuke Perraton
Aug 31, 2012·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Yuichiro MaruyamaKazuo Kaneko
Jul 23, 2014·Clinical Orthopaedics and Related Research·Alexander E WeberJon K Sekiya
Aug 13, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hemang B Panchal, Jon K Sekiya
Oct 19, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yong Seuk LeeJin Goo Kim
Apr 1, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Chad T ZehmsJon K Sekiya
Nov 4, 2009·The Journal of Bone and Joint Surgery. American Volume·Sung-Jae KimYun-Pei Kung
Dec 18, 2013·Clinics in Orthopedic Surgery·Yong Seuk Lee, Young Bok Jung

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