A New Simplified Onlay Technique for Posterior Cruciate Ligament Reconstruction

Abstract The integrity of posterior cruciate ligament (PCL) is essential for the normal kinematics of the knee. Injury to the PCL has adverse consequences, with worsening of functional performance and an increased risk to develop osteoarthritis. Conservative treatment is sometimes adopted, not only because it is an acceptable option for selected patients but also due to the lack of consensus in the orthopedic literature regarding the best surgical method. Hereby we describe a simplified technique for onlay PCL reconstruction pointing out possible advantages if compared with the traditional transtibial or inlay techniques.

[1]  G. Lee,et al.  Accessory anterolateral portal in arthroscopic PCL reconstruction , 2013, Knee Surgery, Sports Traumatology, Arthroscopy.

[2]  Yuh‐Min Cheng,et al.  Arthroscopic transtibial single-bundle posterior cruciate ligament reconstruction using patellar tendon graft compared with hamstring tendon graft , 2013, Archives of Orthopaedic and Trauma Surgery.

[3]  Igor Zazirniy,et al.  Surgical approaches to the knee joint , 2010 .

[4]  W. Mills,et al.  Treatment of Posterior Cruciate Ligament Tibial Avulsion Fractures Through a Modified Open Posterior Approach: Operative Technique and 12- to 48-Month Outcomes , 2008, Journal of orthopaedic trauma.

[5]  T. Wickiewicz,et al.  The Nonoperative Treatment of Acute, Isolated (Partial or Complete) Posterior Cruciate Ligament-Deficient Knees: An Intermediate-term Follow-up Study , 2007, HSS Journal.

[6]  F. Noyes,et al.  Posterior cruciate ligament replacement with a two-strand quadriceps tendon-patellar bone autograft and a tibial inlay technique. , 2005, The Journal of bone and joint surgery. American volume.

[7]  T. Gill,et al.  The Effect of Posterior Knee Capsulotomy on Posterior Tibial Translation during Posterior Cruciate Ligament Tibial Inlay Reconstruction , 2004, The American journal of sports medicine.

[8]  Y. Jung,et al.  Replacement of the torn posterior cruciate ligament with a mid-third patellar tendon graft with use of a modified tibial inlay method. , 2004, The Journal of bone and joint surgery. American volume.

[9]  S. Woo,et al.  Biomechanical Comparison of Tibial Inlay versus Transtibial Techniques for Posterior Cruciate Ligament Reconstruction , 2004, The American journal of sports medicine.

[10]  Wen-Jer Chen,et al.  Double-bundle posterior cruciate ligament reconstruction using inlay technique with quadriceps tendon-bone autograft. , 2004, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[11]  F. Noyes,et al.  Arthroscopically assisted quadriceps double-bundle tibial inlay posterior cruciate ligament reconstruction: An analysis of techniques and a safe operative approach to the popliteal fossa. , 2003, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[12]  F. Noyes Anatomic reconstruction of the posterior cruciate ligament after multiligament knee injuries. A combination of the tibial-inlay and two-femoral-tunnel techniques. , 2003, The American journal of sports medicine.

[13]  A. Weiler,et al.  Graft choice and graft fixation in PCL reconstruction , 2003, Knee Surgery, Sports Traumatology, Arthroscopy.

[14]  K. Markolf,et al.  Biomechanical Comparison of Tibial Inlay and Tibial Tunnel Techniques for Reconstruction of the Posterior Cruciate Ligament: Analysis of Graft Forces , 2002, The Journal of bone and joint surgery. American volume.

[15]  K. Markolf,et al.  A Biomechanical Comparison of Tibial Inlay and Tibial Tunnel Posterior Cruciate Ligament Reconstruction Techniques , 2002, The American journal of sports medicine.

[16]  K. Markolf,et al.  Cyclic Loading of Posterior Cruciate Ligament Replacements Fixed with Tibial Tunnel and Tibial Inlay Methods , 2002, The Journal of bone and joint surgery. American volume.

[17]  R. Parker,et al.  A Biomechanical Comparison of Posterior Cruciate Ligament Reconstruction Techniques * , 2001, The American journal of sports medicine.

[18]  K. Shelbourne,et al.  The Natural History of Acute, Isolated, Nonoperatively Treated Posterior Cruciate Ligament Injuries , 1999, The American journal of sports medicine.

[19]  B. Tietjens,et al.  Long-Term Followup of the Untreated Isolated Posterior Cruciate Ligament-Deficient Knee , 1996, The American journal of sports medicine.

[20]  E. Berg,et al.  Posterior cruciate ligament tibial inlay reconstruction. , 1995, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[21]  K.,et al.  Nonoperatively treated isolated posterior cruciate ligament injuries , 1993, The American journal of sports medicine.

[22]  R. Burks,et al.  A simplified approach to the tibial attachment of the posterior cruciate ligament. , 1990, Clinical orthopaedics and related research.

[23]  J. Bergfeld,et al.  Long-term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete , 1986, The American journal of sports medicine.

[24]  D. Dandy,et al.  The long-term results of unrepaired tears of the posterior cruciate ligament. , 1982, The Journal of bone and joint surgery. British volume.

[25]  Trickey El Injuries to the posterior cruciate ligament: diagnosis and treatment of early injuries and reconstruction of late instability. , 1980 .

[26]  Y. Thomann,et al.  Dorsal approach for reconstruction of the posterior cruciate ligament , 2004, Archives of Orthopaedic and Trauma Surgery.

[27]  Freddie H. Fu,et al.  Arthroscopic posterior cruciate ligament reconstruction. , 1997, Clinics in sports medicine.

[28]  E. Trickey Injuries to the posterior cruciate ligament: diagnosis and treatment of early injuries and reconstruction of late instability. , 1980, Clinical orthopaedics and related research.