Arthroscopic Posterior Cruciate Ligament Reconstruction Using a Pedicled Semitendinosus Autograft Through a Trans-Septal Approach: A Technical Note.

Alayane, Ali; Marot, Vincent; Mouarbes, Dany; Ortal, Léon; Le Cunf, Ariane; Pailhe, Regis; Cavaignac, Etienne · Arthrosc Tech · 2026

other · Level V

Where this comes from

Abstract

Isolated posterior cruciate ligament (PCL) ruptures are relatively uncommon among knee ligament injuries. Operative management is recommended for patients with grade III posterior knee joint laxity. The complex anatomy of the PCL, particularly its course and insertion on the femur and the tibia, makes its reconstruction technically challenging. In this article, we describe a surgical technique for anatomical reconstruction of the PCL using a pedicled semitendinosus tendon autograft. The procedure is performed through trans-septal approach with preservation of the native PCL remnants. Our technique aims to achieve a biological PCL reconstruction, enhancing graft vascularization and promoting optimal healing.