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Updated: Jun 26, 2026
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Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach
Published on: October 20, 2023
[Knee dislocation: concurrent arthroscopic ACL and PCL reconstruction - operating technique]
Tomasz Piontek1, Kinga Ciemniewska-Gorzela, Andrzej Szulc
1Katedra i Klinika Ortopedii i Traumatologii Dzieciecej Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu. tomasz-piontek@wp.pl
Chirurgia Narzadow Ruchu I Ortopedia Polska
|January 13, 2009
Summary
Multiligament knee injuries often lead to instability. This study introduces an arthroscopic surgical technique for concurrent anterior and posterior cruciate ligament (ACL/PCL) reconstruction, improving outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Biomechanics
Background:
- Multiligament knee injuries damage key stabilizing ligaments.
- Traditional immobilization fails to restore normal ligament anatomy, causing instability.
- Current treatments often result in poor functional outcomes due to scar tissue formation.
Purpose of the Study:
- To classify multiligament knee injuries.
- To present surgical treatment options.
- To detail an arthroscopic technique for concurrent ligament reconstruction.
Main Methods:
- Retrospective analysis of 20 patients with multiligament knee injuries.
- Concurrent arthroscopic reconstruction of ACL and PCL using autogenous grafts.
- Reconstruction of medial and/or lateral complexes as needed.
- Meniscal repair or partial meniscectomy in select cases.
Main Results:
- Successful concurrent arthroscopic ACL and PCL reconstruction in all 20 patients.
- Additional medial/lateral complex reconstruction in 14 patients.
- Meniscal procedures performed in 5 patients.
- Surgical time under two hours with autogenous grafts.
Conclusions:
- Arthroscopic concurrent ACL and PCL reconstruction is an effective treatment for multiligament knee injuries.
- The technique utilizes autogenous grafts and allows for rapid surgical intervention.
- This approach offers a potential solution for restoring knee stability and function.