Posterior Cruciate Ligament Reconstruction With Quadriceps Tendon-Patellar Bone Autograft.

Peterson, J Christian; Bartholomew, Marci; Lebolt, James; Menge, Travis J; Hamilton, Kendall · Arthrosc Tech · 2023

expert_opinion · Level V

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Abstract

Multiple surgical techniques for posterior cruciate ligament reconstruction have been described and subsequently scrutinized. We describe a surgical technique using full-thickness quadriceps tendon-patellar bone autograft in single-bundle, all-inside posterior cruciate ligament reconstruction that offers the following advantages over traditional technique: This technique mitigates the risk of tunnel widening and convergence while preserving bone stock, eliminating the killer turn, allowing for suspensory cortical fixation to optimize stabilization, and using a bone plug that allows for faster graft incorporation.

Anatomy