Isolated posterior cruciate ligament (PCL) ruptures are relatively rare, but they more commonly occur in multiligament knee injuries. To date, in isolated or combined injuries with grade III step-off, surgical treatment is rec-ommended to restore joint stability and improve knee function. Several techniques for PCL reconstruction have been described. However, recent evidence has suggested that broad, flat soft-tissue grafts may more closely mimic the native PCL ribbonlike morphology in PCL reconstruction. Furthermore, a femoral rectangular bone tunnel may more accurately re-create the native PCL attachment, allowing grafts to simulate native PCL rotation during knee flexion and potentially improving biomechanics. Therefore, we have developed a PCL reconstruction technique using flat quadriceps or hamstring grafts. This technique can be performed using 2 types of surgical instruments that allow for the creation of a rectangular femoral bone tunnel.

Posterior Cruciate Ligament Reconstruction Using Flat Soft-Tissue Grafts / Fink, Christian; Farinelli, Luca; Abermann, Elisabeth; Meena, Amit; Smigielski, Robert; Herbort, Mirco. - In: ARTHROSCOPY TECHNIQUES. - ISSN 2212-6287. - 12:2(2023), pp. 261-271. [10.1016/j.eats.2022.10.016]

Posterior Cruciate Ligament Reconstruction Using Flat Soft-Tissue Grafts

Farinelli, Luca;
2023-01-01

Abstract

Isolated posterior cruciate ligament (PCL) ruptures are relatively rare, but they more commonly occur in multiligament knee injuries. To date, in isolated or combined injuries with grade III step-off, surgical treatment is rec-ommended to restore joint stability and improve knee function. Several techniques for PCL reconstruction have been described. However, recent evidence has suggested that broad, flat soft-tissue grafts may more closely mimic the native PCL ribbonlike morphology in PCL reconstruction. Furthermore, a femoral rectangular bone tunnel may more accurately re-create the native PCL attachment, allowing grafts to simulate native PCL rotation during knee flexion and potentially improving biomechanics. Therefore, we have developed a PCL reconstruction technique using flat quadriceps or hamstring grafts. This technique can be performed using 2 types of surgical instruments that allow for the creation of a rectangular femoral bone tunnel.
2023
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11566/329509
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