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J Knee Surg 2010; 23(2): 089-094
DOI: 10.1055/s-0030-1267467
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© Thieme Medical Publishers

Arthroscopic Double-Bundle Posterior Cruciate Ligament Reconstruction Surgical Technique

Gregory C. Fanelli1 , John D. Beck1 , Craig J. Edson1
  • 1Department of Sports Medicine and Orthopaedics, Geisinger Health System, Danville, Pennsylvania
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Publication History

Publication Date:
22 October 2010 (online)

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ABSTRACT

The keys to successful posterior cruciate ligament (PCL) reconstruction are to identify and treat all pathology, use strong graft material, accurately place tunnels in anatomic insertion sites, minimize graft bending, use a mechanical graft tensioning device, use primary and back-up graft fixation, and use the appropriate postoperative rehabilitation program. Adherence to these technical principles results in successful single-bundle and double-bundle arthroscopic transtibial tunnel PCL reconstruction based on stress radiography, arthrometer, knee ligament rating scales, and patient satisfaction measurements.

KEYWORDS

Posterior cruciate ligament - double bundle - allograft - transtibial tunnel technique - mechanical graft tensioning boot.

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Gregory C FanelliM.D. 

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