This paper is only available as a PDF. To read, Please Download here.
Abstract
This article describes a modified endoscopic technique of posterior cruciate ligament
reconstruction using bone-patellar tendon-bone or calcaneus tendon allografts. Three
portals were used: a parapatellar anteromedial portal, a lateral anterolateral portal,
and a proximal posteromedial portal. The tibial tunnel was made through the anterolateral
tibial cortex 2 cm lateral to the tibial tuberosity to the posterior flat spot of
the tibia 1 cm below the articular margin and just lateral to the midline. By this
method, a less acute angle at the turning point of the tibial tunnel and a straighter
alignment of the graft in the coronal plane can be obtained. The femoral tunnel was
made through the lateral anterolateral portal without incision over the medial femoral
condyle to minimize the injury to the vastus medialis obliques muscle. The 25-mm long
proximal bone plug was easily passed through the tibial tunnel using a specially designed
suture pusher and guided into the femoral tunnel by pulling the leading suture with
the knee flexed 30 degrees. Firm graft fixation was achieved with absorbable interference
screws or staples.
Arthroscopy 1998 Sep;14(6):643-8
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Article info
Identification
Copyright
© 1998 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
