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...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Elsevier
2023-10-01
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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. |
first_indexed | 2024-03-11T16:05:04Z |
format | Article |
id | doaj.art-643923dfe69d420c853933029677e644 |
institution | Directory Open Access Journal |
issn | 2212-6287 |
language | English |
last_indexed | 2024-03-11T16:05:04Z |
publishDate | 2023-10-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroscopy Techniques |
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 |
work_keys_str_mv | AT ranajitpanigrahims allinsideposteriorcruciateligamentreconstructionwithremnantpreservationanteromedialportaltechnique AT unmeshksahoodnb allinsideposteriorcruciateligamentreconstructionwithremnantpreservationanteromedialportaltechnique |