Posterior Cruciate Ligament Reconstruction Using a Trans-septal Approach With Preserved Hamstrings Tibial Insertion

Posterior cruciate ligament reconstruction is a challenging procedure and requires a safe approach that provides a proper visualization of the tibial footprint while avoiding neurovascular damage and facilitating graft passage. Recent studies have shown that the preservation of the hamstring tibial attachment improves fixation and vascularization in the setting of anterior cruciate ligament reconstruction. This Technical Note reports an effective and reproducible arthroscopic single-bundle posterior cruciate ligament reconstruction through a trans-septal approach wit preserved hamstring tibial insertion.