We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Remnant‐Preserving Posterior Cruciate Ligament Reconstruction Over Remnant Fibers Using a Figure‐of‐Four Position and a Posterior Trans‐Septal Portal.
- Authors
Xiong, Yi‐lin; Su, Chao; Kuang, Shi‐da; Zhao, Xin; Li, Yu‐sheng; Xiao, Wen‐feng; Zhu, He‐yuan; Liu, Wei‐jie; Gao, Shu‐guang
- Abstract
Anatomic tunnel formation and remnant preservation are the recent trends in posterior cruciate ligament (PCL) reconstruction. However, it is difficult to observe the anatomical PCL footprint and perform the operation in the process of remnant‐preserving PCL reconstruction. This study describes a single‐bundle, transtibial PCL reconstruction technique with anatomic graft passage over the remnant PCL fibers. A femoral tunnel of PCL is created at 2 mm medial to the roof of the intercondylar notch and 3 mm proximal to the margin of the articular cartilage. The tibial insertion of PCL is observed using a figure‐of‐four position through a posterior trans‐septal portal. A tibial bone tunnel is made below the distal center portion of the tibial insertion of residual PCL fibers. The graft is passed over the PCL through the tibial bone tunnel, the space between the anterior cruciate ligament (ACL) and the residual PCL fibers, to the femoral socket and is fixed by the EndoButton and screw. This technique is able to ensure a reasonable intra‐articular length and optimal isometry. It has been applied in patients with PCL rupture and posterior instability of the knee joint, and no intraoperative or postoperative complications occurred. Our technology provides a valuable new treatment option for PCL rupture. Future comparative studies are needed to further clarify its beneficial effect.
- Subjects
POSTERIOR cruciate ligament; ANTERIOR cruciate ligament; JOINT hypermobility; ARTICULAR cartilage; KNEE; RESIDUAL limbs
- Publication
Orthopaedic Surgery, 2020, Vol 12, Issue 6, p2018
- ISSN
1757-7853
- Publication type
Article
- DOI
10.1111/os.12755