Tibial Inlay Posterior Cruciate Ligament Reconstruction

Reconstruction of the posterior cruciate ligament is typically made through either tibial inlay or transtibial methods. Double-bundle reconstruction can be combined with either technique and has clear biomechanical advantages. On the basis of prior evidence and the author's own surgical experiences, this technique paper provides the reasoning for using these methods. Further evidence and reasoning is given for when to use the inlay technique rather than the transtibial technique for posterior cruciate ligament reconstruction.