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Accurate Measurement in All-inside Posterior Cruciate Ligament Reconstruction: A Technical Note
Daoliang Xu1,2,3, Wei Yu1,2,3, Zelin Jiang1,2,3
1Department of Orthopaedic Surgery The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University Wenzhou Zhejiang China.
Arthroscopy Techniques
|July 25, 2026
Summary
A new intraoperative measurement technique for all-inside posterior cruciate ligament reconstruction (PCLr) addresses graft and socket sizing challenges. This method ensures immediate knee stability and reduces surgical failure risks for better patient outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Posterior cruciate ligament reconstruction (PCLr) rates are rising, with increasing use of the all-inside technique.
- Current literature lacks an optimal surgical protocol for all-inside PCLr, particularly regarding graft sizing.
- Intraoperative challenges include variations in knee size and patient positioning, affecting graft and socket dimensions.
Purpose of the Study:
- To present a novel intraoperative measurement technique for all-inside PCLr.
- To address the critical issue of imprecise graft and socket sizing in all-inside PCLr.
- To provide a practical solution for optimizing surgical outcomes in all-inside PCLr.
Main Methods:
- Description of a new intraoperative measurement technique for all-inside PCLr.
- Application of the technique in a cohort of patients undergoing all-inside PCLr.
- Evaluation of immediate postoperative knee stability using the posterior drawer test.
Main Results:
- The described technique effectively addresses graft and socket sizing issues in all-inside PCLr.
- All patients demonstrated immediate knee stability post-surgery.
- Intraoperative posterior drawer tests were negative in all patients, indicating successful reconstruction.
Conclusions:
- This reproducible intraoperative measurement technique offers a practical solution for all-inside PCLr.
- The technique minimizes the risk of surgical failure by optimizing graft and socket fit.
- Implementing this method can lead to improved outcomes in all-inside PCLr procedures.