Autograft Anatomic, Double-Bundle Posterior Cruciate Ligament Reconstruction.

Ponzo, Nelson; Del Castillo, Juan; Fregeiro, José; Kennedy, Mitchell I; LaPrade, Robert F · Arthrosc Tech · 2018

expert_opinion · Level V

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Abstract

It is well known that the posterior cruciate ligament (PCL) is the main stabilizer to posterior tibial translation in the knee. Anatomic double-bundle reconstruction has recently been proposed to best restore posterior and rotational tibial instability, especially compared with a single-bundle PCL reconstruction (PCLR). Most publications in the peer-reviewed literature on double-bundle PCLR have used allografts. However, in many countries, allografts are not available. This Technical Note describes an all-autograft arthroscopic technique for PCLR using the quadriceps and semitendinosus tendons.