Surgical technique: posterior cruciate ligament (PCL) reconstruction using double posteromedial arthroscopic portals.

Lucidi, Gian Andrea; Seil, Romain; Agostinone, Piero; Toanen, Cécile; Grassi, Alberto; Zaffagnini, Stefano · J Exp Orthop · 2023

case_series · Level IV

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Abstract

The posterior cruciate ligament (PCL) reconstruction is a technically demanding surgical procedure that requires optimal identification of both the femoral and the tibial anatomical footprints. To aid the tibial tunnel placement and many authors recommend creating a posteromedial (PM) portal. The further addition of a second PM portal, which could be used as a "working portal", may further allow a more straightforward reconstruction by improving the identification of the anatomical footprint, the clearing of the stump, and the graft passage.