Posterior cruciate ligament reconstruction with a single-sling technique using a tibialis anterior tendon allograft

Reconstruction of the posterior cruciate ligament (PCL) has been performed in various ways. Recent biomechanical tests revealed that a double-bundle graft with a 2-tunnel technique is more likely to restore normal knee stability throughout the full range of knee motion. Several techniques using double-bundle grafts have been implemented for PCL reconstruction; however, each technique has its own advantages and disadvantages. To provide a simplified surgical technique and minimize its inherent complications, the purpose of this study was to introduce a novel technique of arthroscopic PCL reconstruction using an allogeneic tibialis anterior tendon and forming a single sling.