Tips for Successful Arthroscopic Single-Bundle Posterior Cruciate Ligament Reconstruction

Injuries to the posterior cruciate ligament (PCL) are relatively common knee injuries often seen in the setting of multiligamentous knee injuries. Operative treatment for PCL injuries has been described using both single and double bundles with both open and arthroscopic techniques. Proper surgical technique is imperative to prevent residual instability and reduce the risks for graft failure. Our technical note outlines tips to successfully perform an all-inside arthroscopic single-bundle PCL reconstruction. We provide a reproducible technique that simplifies graft preparation, improves arthroscopic visualization, and optimizes tunnel positioning while adequately protecting neurovascular structures.