Arthroscopically assisted quadriceps double-bundle tibial inlay posterior cruciate ligament reconstruction: An analysis of techniques and a safe operative approach to the popliteal fossa.
The arthroscopically assisted posterior cruciate ligament tibial inlay technique, frequently used in athletic individuals and in revision cases, requires a thorough and comprehensive understanding of posterior knee anatomy. Importantly, variations in the posterior vascular anatomy may be encountered. A safe and methodical posteromedial approach in a layered fashion to achieve proper and safe tibial inlay graft placement and fixation is described. The authors advocate use of a double-bundle quadriceps tendon autograft. Graft position of the double strands, fixation, and tensioning issues are presented.
Noyes
Frank R
FR
Cincinnati Sportsmedicine Research and Education Foundation, Cincinnati, Ohio, USA. sbwestin@csmref.org
Medvecky
Michael J
MJ
Bhargava
Manoj
M
D001182:Arthroscopy / Q000379:methods*; D001915:Braces; D006801:Humans; D007717:Knee / Q000098:blood supply; D007718:Knee Injuries / Q000534:rehabilitation; D016119:Posterior Cruciate Ligament / Q000293:injuries / Q000601:surgery*; D012449:Safety; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000601:surgery*; D013977:Tibia / Q000601:surgery*