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Arthroscopic reconstruction of the posterior cruciate ligament using tibial-inlay and double-bundle technique.
Arthroscopy. 2005 Oct; 21(10):1271.A

Abstract

Biomechanical research has suggested that the double-bundle and tibial inlay technique is superior to the single-bundle and the transtibial tunnel method for posterior cruciate ligament (PCL) reconstruction. A combination the posterior tibial inlay and femoral double-bundle technique is thought to be an ideal method for PCL reconstruction. Recently, we successfully performed arthroscopic PCL reconstruction using the tibial-inlay and double-bundle technique. Achilles tendon-bone allograft is used and the bone plug for the arthroscopic tibial inlay fixation is designed in a cylindrical shape and perpendicular to the fiber texture of the Achilles tendon. Achilles tendon is manually split into deep and superficial layers to reconstruct anterolateral and posteromedial bundles as the natural insertion of PCL. The intra-articular lengths of each bundle between tibial tunnel and 2 femoral tunnels are measured to achieve fixation of the graft to the original PCL attachment. After tibial bone plug fixation with an absorbable interference screw and additional suture anchoring, the anterolateral bundle is fixed in a reduction position with the knee in 90 degrees of flexion and the posteromedial bundle is fixed nearly in extension. This procedure makes it possible not only to reproduce the original concept of PCL tibial inlay graft arthroscopically without posterior arthrotomy, but also to achieve a more anatomic PCL reconstruction of the 2 bundles.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea. sungjaekim@yumc.yonsei.ac.krNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16226662

Citation

Kim, Sung-Jae, and In-Seop Park. "Arthroscopic Reconstruction of the Posterior Cruciate Ligament Using Tibial-inlay and Double-bundle Technique." Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, vol. 21, no. 10, 2005, p. 1271.
Kim SJ, Park IS. Arthroscopic reconstruction of the posterior cruciate ligament using tibial-inlay and double-bundle technique. Arthroscopy. 2005;21(10):1271.
Kim, S. J., & Park, I. S. (2005). Arthroscopic reconstruction of the posterior cruciate ligament using tibial-inlay and double-bundle technique. Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 21(10), 1271.
Kim SJ, Park IS. Arthroscopic Reconstruction of the Posterior Cruciate Ligament Using Tibial-inlay and Double-bundle Technique. Arthroscopy. 2005;21(10):1271. PubMed PMID: 16226662.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arthroscopic reconstruction of the posterior cruciate ligament using tibial-inlay and double-bundle technique. AU - Kim,Sung-Jae, AU - Park,In-Seop, PY - 2005/10/18/pubmed PY - 2006/3/21/medline PY - 2005/10/18/entrez SP - 1271 EP - 1271 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 - 21 IS - 10 N2 - Biomechanical research has suggested that the double-bundle and tibial inlay technique is superior to the single-bundle and the transtibial tunnel method for posterior cruciate ligament (PCL) reconstruction. A combination the posterior tibial inlay and femoral double-bundle technique is thought to be an ideal method for PCL reconstruction. Recently, we successfully performed arthroscopic PCL reconstruction using the tibial-inlay and double-bundle technique. Achilles tendon-bone allograft is used and the bone plug for the arthroscopic tibial inlay fixation is designed in a cylindrical shape and perpendicular to the fiber texture of the Achilles tendon. Achilles tendon is manually split into deep and superficial layers to reconstruct anterolateral and posteromedial bundles as the natural insertion of PCL. The intra-articular lengths of each bundle between tibial tunnel and 2 femoral tunnels are measured to achieve fixation of the graft to the original PCL attachment. After tibial bone plug fixation with an absorbable interference screw and additional suture anchoring, the anterolateral bundle is fixed in a reduction position with the knee in 90 degrees of flexion and the posteromedial bundle is fixed nearly in extension. This procedure makes it possible not only to reproduce the original concept of PCL tibial inlay graft arthroscopically without posterior arthrotomy, but also to achieve a more anatomic PCL reconstruction of the 2 bundles. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/16226662/Arthroscopic_reconstruction_of_the_posterior_cruciate_ligament_using_tibial_inlay_and_double_bundle_technique_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-8063(05)01115-1 DB - PRIME DP - Unbound Medicine ER -