All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal Technique

The posterior cruciate ligament (PCL) is an important restraint to posterior tibial translation. PCL reconstruction is one of the most challenging procedures, with the literature having described many techniques for reconstruction. Protecting the neurovascular structures, overcoming the “killer turn...

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Main Authors: Ranajit Panigrahi, M.S., Unmesh K. Sahoo, D.N.B.
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628723001676
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author Ranajit Panigrahi, M.S.
Unmesh K. Sahoo, D.N.B.
author_facet Ranajit Panigrahi, M.S.
Unmesh K. Sahoo, D.N.B.
author_sort Ranajit Panigrahi, M.S.
collection DOAJ
description The posterior cruciate ligament (PCL) is an important restraint to posterior tibial translation. PCL reconstruction is one of the most challenging procedures, with the literature having described many techniques for reconstruction. Protecting the neurovascular structures, overcoming the “killer turn,” preserving bone, and reducing morbidity and postoperative pain are a few of the technical challenges that surgeons often encounter during PCL reconstruction. We describe a technique using a graft-link construct through the anteromedial portal for all-inside PCL reconstruction with remnant preservation that protects the graft from the killer turn of the tibia by smooth passage of the graft over the remnant and improves proprioception, thereby reducing postoperative pain and morbidity and achieving excellent functional outcomes.
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spelling doaj.art-643923dfe69d420c853933029677e6442023-10-25T04:16:08ZengElsevierArthroscopy Techniques2212-62872023-10-011210e1695e1700All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal TechniqueRanajit Panigrahi, M.S.0Unmesh K. Sahoo, D.N.B.1Address correspondence to Ranajit Panigrahi, M.S., Flat 3A, Aurogreen Apartment, Behind Omfed Plant, Chandravihar, Chandrashekharpur, Bhubaneswar, Odisha, 751017, India.; Department of Orthopaedics, Hitech Medical College, Bhubaneswar, IndiaDepartment of Orthopaedics, Hitech Medical College, Bhubaneswar, IndiaThe posterior cruciate ligament (PCL) is an important restraint to posterior tibial translation. PCL reconstruction is one of the most challenging procedures, with the literature having described many techniques for reconstruction. Protecting the neurovascular structures, overcoming the “killer turn,” preserving bone, and reducing morbidity and postoperative pain are a few of the technical challenges that surgeons often encounter during PCL reconstruction. We describe a technique using a graft-link construct through the anteromedial portal for all-inside PCL reconstruction with remnant preservation that protects the graft from the killer turn of the tibia by smooth passage of the graft over the remnant and improves proprioception, thereby reducing postoperative pain and morbidity and achieving excellent functional outcomes.http://www.sciencedirect.com/science/article/pii/S2212628723001676
spellingShingle Ranajit Panigrahi, M.S.
Unmesh K. Sahoo, D.N.B.
All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal Technique
Arthroscopy Techniques
title All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal Technique
title_full All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal Technique
title_fullStr All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal Technique
title_full_unstemmed All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal Technique
title_short All-Inside Posterior Cruciate Ligament Reconstruction With Remnant Preservation: Anteromedial Portal Technique
title_sort all inside posterior cruciate ligament reconstruction with remnant preservation anteromedial portal technique
url http://www.sciencedirect.com/science/article/pii/S2212628723001676
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