Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Arthroscopic Techniques
Case Report
Current Issue
Editorial
Elbow, Review Article
Foot and Ankle, Review Article
Guest Editorial
Hip, Review Article
Knee, Review Article
Letter to the Editor
Original Article
Regenerative Orthopaedics, Review Article
Review Article
Shoulder, Review Article
Spine, Review Article
Video of Arthroscopic Surgical Procedures
Wrist, Review Article
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Arthroscopic Techniques
Case Report
Current Issue
Editorial
Elbow, Review Article
Foot and Ankle, Review Article
Guest Editorial
Hip, Review Article
Knee, Review Article
Letter to the Editor
Original Article
Regenerative Orthopaedics, Review Article
Review Article
Shoulder, Review Article
Spine, Review Article
Video of Arthroscopic Surgical Procedures
Wrist, Review Article
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Arthroscopic Techniques
Case Report
Current Issue
Editorial
Elbow, Review Article
Foot and Ankle, Review Article
Guest Editorial
Hip, Review Article
Knee, Review Article
Letter to the Editor
Original Article
Regenerative Orthopaedics, Review Article
Review Article
Shoulder, Review Article
Spine, Review Article
Video of Arthroscopic Surgical Procedures
Wrist, Review Article
View/Download PDF

Translate this page into:

Video of Arthroscopic Surgical Procedures
4 (
2
); 64-64
doi:
10.25259/JASSM_20_2022

Arthroscopic posterior cruciate ligament reconstruction using the posterior trans-septal portal with preservation of remnant PCL bundle and meniscofemoral ligament with peroneus longus

Department of Orthopaedics, Yenepoya Medical College, Mangaluru, Karnataka, India
Corresponding author: Sharat Balemane, Department of Orthopaedics, Yenepoya Medical College, Mangaluru, Karnataka, India. sharatnb123@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Balemane S. Arthroscopic posterior cruciate ligament reconstruction using the posterior trans-septal portal with preservation of remnant PCL bundle and meniscofemoral ligament with peroneus longus. J Arthrosc Surg Sports Med. 2023;4:64. doi: 10.25259/JASSM_20_2022

Previously, surgeons would remove the remnants and the footprints for good visualization. Here, we preserve the posterior cruciate ligament (PCL) remnant, which can increase the length of the PCL graft, preserve proprioception, ease of graft passing, and allow more anatomic positions. Innovation – We described how to avoid killer turn by pulley and rod technique. And how to avoid neurovascular damage by creating safe transportal technique, preserve footprint, and locating the anatomical tibial footprint.

Different from current practice – The position of the PCL graft was anatomic because the original PCL insertion was intact. The advantages of our technique are the creation of transseptal portals with visualization of the posterior compartment and killer turn prevention and we have also noticed marked reduction of operative time with an average of 90 min [Video 1].

Video 1:

Video 1:Posterior cruciate ligament technique.

Description – Create posteromedial portal with transillumination technique, insert rod from posteromedial portal, and create posterolateral portal, after transseptal clearance, tibial footprint located and tibial tunnel drilled and pulley inserted underneath the graft to avoid killer turn, and help in easy passage of graft.

The advantages of our technique are the creation of transseptal portals with visualization of the posterior compartment and killer turn prevention and we have also noticed marked reduction of operative time with an average of 90 min. A disadvantage is that the critical angle still exists, but we can lessen it with the deep flexion knee.

A disadvantage is that the critical angle still exists, but we can lessen it with the deep flexion knee. Hence, PCL reconstruction with remnant augmentation should be the future of transtibial PCL reconstruction.

Ethical approval

The Institutional Review Board approval is not required.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Use of artificial intelligence (AI)-assisted technology for manuscript preparation

The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.

Video available on:

www.jassm.org

Financial support and sponsorship

Nil.


Fulltext Views
1,492

PDF downloads
726
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections