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Arthroscopic posterior cruciate ligament tibial inlay reconstruction.
Arthroscopy. 2004 Jul; 20 Suppl 2:149-54.A

Abstract

Tibial inlay posterior cruciate ligament (PCL) reconstruction was developed to avoid "killer turn" of the tibial tunnel. It requires a surgical dissection to popliteal fossa and changing of the patient's position during operation. We report an arthroscopic tibial inlay PCL reconstruction technique to avoid morbidity from an open procedure. Achilles tendon-bone allograft was used for reconstruction, and bone plug was designed in a cylindrical shape vertical to the tendon direction for tibial fixation. The intra-articular length of PCL is measured, and the proximal graft is prepared with a whipstitch and an EndoPearl (Linvatec, Largo, FL) is connected for enhancing femoral fixation. After tibial graft fixation with an absorbable interference screw, tibial site fixation was reinforced with suture anchoring to a washer on the anterolateral surface of the tibia. Femoral fixation was done with another screw. It was possible to reproduce the original concept of PCL tibial inlay graft with our arthroscopic technique.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, South Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Technical Report

Language

eng

PubMed ID

15243450

Citation

Kim, Sung-Jae, et al. "Arthroscopic Posterior Cruciate Ligament Tibial Inlay Reconstruction." Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, vol. 20 Suppl 2, 2004, pp. 149-54.
Kim SJ, Choi CH, Kim HS. Arthroscopic posterior cruciate ligament tibial inlay reconstruction. Arthroscopy. 2004;20 Suppl 2:149-54.
Kim, S. J., Choi, C. H., & Kim, H. S. (2004). Arthroscopic posterior cruciate ligament tibial inlay reconstruction. Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 20 Suppl 2, 149-54.
Kim SJ, Choi CH, Kim HS. Arthroscopic Posterior Cruciate Ligament Tibial Inlay Reconstruction. Arthroscopy. 2004;20 Suppl 2:149-54. PubMed PMID: 15243450.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arthroscopic posterior cruciate ligament tibial inlay reconstruction. AU - Kim,Sung-Jae, AU - Choi,Chong-Hyuk, AU - Kim,Hyoung-Sik, PY - 2004/7/10/pubmed PY - 2005/3/17/medline PY - 2004/7/10/entrez SP - 149 EP - 54 JF - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JO - Arthroscopy VL - 20 Suppl 2 N2 - Tibial inlay posterior cruciate ligament (PCL) reconstruction was developed to avoid "killer turn" of the tibial tunnel. It requires a surgical dissection to popliteal fossa and changing of the patient's position during operation. We report an arthroscopic tibial inlay PCL reconstruction technique to avoid morbidity from an open procedure. Achilles tendon-bone allograft was used for reconstruction, and bone plug was designed in a cylindrical shape vertical to the tendon direction for tibial fixation. The intra-articular length of PCL is measured, and the proximal graft is prepared with a whipstitch and an EndoPearl (Linvatec, Largo, FL) is connected for enhancing femoral fixation. After tibial graft fixation with an absorbable interference screw, tibial site fixation was reinforced with suture anchoring to a washer on the anterolateral surface of the tibia. Femoral fixation was done with another screw. It was possible to reproduce the original concept of PCL tibial inlay graft with our arthroscopic technique. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/15243450/Arthroscopic_posterior_cruciate_ligament_tibial_inlay_reconstruction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749806304005031 DB - PRIME DP - Unbound Medicine ER -