Posterior cruciate ligament reconstruction with patellar tendon autograft

Although the management of the PCL-injured knee remains controversial, there is a group of patients who will develop accelerated traumatic arthritis in whom surgical intervention is warranted. PCL reconstruction with a patellar tendon graft can reliably restore objective stability in over 90% of patients. Strict attention to detail, however, especially with respect to tunnel placement, is necessary to insure success.