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All-Inside PCL Reconstruction.

Erik Therrien¹, Ayoosh Pareek¹, Bryant M Song¹

¹Department of Orthopedic Surgery & Sports Medicine, Mayo Clinic, Rochester, Minnesota.

The Journal of Knee Surgery

|February 5, 2021

Summary

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Editorial Commentary: Different Grafts, Different Problems: Why Anterior Cruciate Ligament Graft Selection Requires Individualized Decision-Making.

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Numerous posterior cruciate ligament (PCL) reconstruction techniques exist, but studies show no significant outcome differences. The best PCL surgery remains safe, simple, and allows return to function.

Area of Science:

Orthopedic surgery
Sports medicine
Knee ligament reconstruction

Background:

Posterior cruciate ligament (PCL) injuries often require surgical reconstruction.
Various techniques and graft options are available for PCL repair.

Purpose of the Study:

To review and compare different posterior cruciate ligament (PCL) reconstruction techniques.
To identify the characteristics of an ideal PCL surgical method.

Main Methods:

Review of described PCL reconstruction techniques including graft types (autograft vs. allograft).
Comparison of surgical approaches (single-bundle vs. double-bundle, open inlay vs. arthroscopic inlay vs. arthroscopic transtibial, all-inside socket).

Main Results:

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Reported clinical outcomes show no significant differences among various PCL reconstruction techniques.

Heterogeneity in injury characteristics and patient populations may explain the lack of outcome disparity.

Conclusions:

The ideal posterior cruciate ligament (PCL) reconstruction technique should be safe, simple, and reproducible.
Effective PCL surgery should facilitate treatment of associated knee injuries and enable return to function.