Double-Bundle “All-Inside” Posterior Cruciate Ligament Reconstruction

Anatomic Double-Bundle Posterior Cruciate Ligament Reconstruction.

The posterior cruciate ligament (PCL) is known to be the main posterior stabilizer of the knee. Anatomic single-bundle PCL reconstruction, focusing on reconstruction of the larger anterolateral bundle, is the most commonly performed procedure. Because of the residual posterior and rotational tibial instability after the single-bundle procedure and the inability to restore the normal knee kinema...

Anatomic double-bundle posterior cruciate ligament reconstruction using hamstring tendons.

Recent biomechanical studies have shown that an anatomic double-bundle posterior cruciate ligament (PCL) reconstruction is superior in restoring normal knee laxity compared with the conventional single-bundle isometric reconstruction. We describe a modification of an endoscopic PCL reconstruction technique using a double-bundle Y-shaped hamstring tendon graft. A double- or triple-bundle semiten...

Transmedial All-inside TriLink Posterior Cruciate Ligament Reconstruction

Posterior cruciate ligament (PCL) injuries usually constitute part of a multiligament injury. Isolated PCL injuries account for only approximately 3% of all ligament injuries. No consensus on optimal surgical reconstruction exists. The PCL is a double-bundle structure that functions in an anisometric manner. Biomechanical studies have shown that re-creating the PCL femoral double-bundle configu...

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

A review of the literature suggests that a significant number of patients undergoing anterior cruciate ligament (ACL) reconstruction continue to suffer residual pain and instability after surgery. Consequently, there remains considerable room for improvement in surgical ACL reconstruction. Anatomically, the ACL can be divided into 2 major functional bundles, the anteromedial and the posterolate...