All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation

We describe the all-anterior approach for arthroscopic posterior cruciate ligament (PCL) reconstruction with remnant preservation. In this technique, PCL is reconstructed through 3 anterior portals: anterolateral portal, anteromedial portal, and inferior anterolateral portal, whereas the PCL remnant...

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Main Authors: Tianwu Chen, M.D., Shaohua Liu, M.D., Jiwu Chen, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2016-12-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628716300810
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author Tianwu Chen, M.D.
Shaohua Liu, M.D.
Jiwu Chen, M.D., Ph.D.
author_facet Tianwu Chen, M.D.
Shaohua Liu, M.D.
Jiwu Chen, M.D., Ph.D.
author_sort Tianwu Chen, M.D.
collection DOAJ
description We describe the all-anterior approach for arthroscopic posterior cruciate ligament (PCL) reconstruction with remnant preservation. In this technique, PCL is reconstructed through 3 anterior portals: anterolateral portal, anteromedial portal, and inferior anterolateral portal, whereas the PCL remnant is preserved with great possibility. With the PCL elevator and wire catcher (Smith & Nephew), a self-made wire loop is introduced into the joint through the tibial tunnel, and is used to pass the graft in an all-inside-out fashion. In the transtibial PCL reconstruction technique, posterior portals are routinely adopted and the PCL remnant is often removed for good vision and adequate operative space, which can prolong surgery time and increase the potential risk of iatrogenic injury. In comparison, this technique not only simplifies the surgical procedure and reduces surgical trauma, but also preserves the remnant for our patients.
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spelling doaj.art-eef61ebac93a4ec7a9e3985bb412d8ad2022-12-21T22:01:51ZengElsevierArthroscopy Techniques2212-62872016-12-0156e1203e1207All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant PreservationTianwu Chen, M.D.0Shaohua Liu, M.D.1Jiwu Chen, M.D., Ph.D.2Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China; Sports Medicine Center of Fudan University, Shanghai, People's Republic of ChinaDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China; Sports Medicine Center of Fudan University, Shanghai, People's Republic of ChinaDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China; Sports Medicine Center of Fudan University, Shanghai, People's Republic of China; Address correspondence to Jiwu Chen, M.D., Ph.D., Department of Sports Medicine, Huashan Hopstial, Fudan University, No. 12 Wulumuqi Road, Jing'An District, Shanghai 200020, People's Republic of China.We describe the all-anterior approach for arthroscopic posterior cruciate ligament (PCL) reconstruction with remnant preservation. In this technique, PCL is reconstructed through 3 anterior portals: anterolateral portal, anteromedial portal, and inferior anterolateral portal, whereas the PCL remnant is preserved with great possibility. With the PCL elevator and wire catcher (Smith & Nephew), a self-made wire loop is introduced into the joint through the tibial tunnel, and is used to pass the graft in an all-inside-out fashion. In the transtibial PCL reconstruction technique, posterior portals are routinely adopted and the PCL remnant is often removed for good vision and adequate operative space, which can prolong surgery time and increase the potential risk of iatrogenic injury. In comparison, this technique not only simplifies the surgical procedure and reduces surgical trauma, but also preserves the remnant for our patients.http://www.sciencedirect.com/science/article/pii/S2212628716300810
spellingShingle Tianwu Chen, M.D.
Shaohua Liu, M.D.
Jiwu Chen, M.D., Ph.D.
All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation
Arthroscopy Techniques
title All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation
title_full All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation
title_fullStr All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation
title_full_unstemmed All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation
title_short All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation
title_sort all anterior approach for arthroscopic posterior cruciate ligament reconstruction with remnant preservation
url http://www.sciencedirect.com/science/article/pii/S2212628716300810
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