title: Transtibial double bundle posterior cruciate ligament reconstruction using TransFix tibial fixation.
abstract: Previous transtibial double bundle posterior cruciate ligament (PCL) reconstruction methods have several problems in graft length and tibial fixation. We introduce new surgical method that is less restrictive by graft length and is more stable with single tibial fixation. After diagnostic arthroscopy, we prepare the graft, ream the tibial tunnel, and perform the procedure for TransFix tibial fixation. Femoral 2 tunnel is made and graft is passed via anteromedial (AM) portal. Tibial fixation is done and femoral 2 graft is fixed sequentially at each knee position. TransFix tibial single fixation method in double bundle PCL reconstruction provides more stable fixation, more free graft selection, and prevents graft damage by passing the graft via AM portal.
authors.affiliation: Department of Orthopedic surgery, The Armed Forces Yangju Hospital, YongAm-ri 49-1, EunHyun-myun, YangJu-si, KyungGi-Province, and Chung-Ang University Medical Center, Seoul, South Korea. smcos1@hanmail.net
authors.forename: Yong Seuk
authors.initials: YS
authors.lastname: Lee
authors.forename: Jin Hwan
authors.initials: JH
authors.lastname: Ahn
authors.forename: Young Bok
authors.initials: YB
authors.lastname: Jung
authors.forename: Joon Ho
authors.initials: JH
authors.lastname: Wang
authors.forename: Jae Chul
authors.initials: JC
authors.lastname: Yoo
authors.forename: Ho Joong
authors.initials: HJ
authors.lastname: Jung
authors.forename: Bun Jung
authors.initials: BJ
authors.lastname: Kang
mesh_terms: D001182:Arthroscopy; D005269:Femur / Q000601:surgery; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods; D016119:Posterior Cruciate Ligament / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D013165:Splints; D053441:Suture Anchors; D013710:Tendons / Q000637:transplantation*; D053656:Tenodesis / Q000295:instrumentation / Q000379:methods; D013977:Tibia / Q000601:surgery*; D014184:Transplantation, Homologous; D016474:Weight-Bearing / Q000502:physiology