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Arthroscopic posterior cruciate ligament reconstruction using hamstring tendons: one-incision technique with
K Shino1, S Nakagawa, N Nakamura
1Department of Orthopaedic Surgery, Osaka University Medical School, Japan.
Summary
This study details a single-incision technique for posterior cruciate ligament reconstruction using hamstring tendons and Endobutton fixation. It simplifies surgery by avoiding a second incision and accommodates diverse graft choices.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Biomedical engineering
Background:
- Posterior cruciate ligament (PCL) injuries often require surgical reconstruction.
- Traditional PCL reconstruction techniques can involve multiple incisions.
- Femoral fixation methods influence surgical complexity and graft choices.
Purpose of the Study:
- To describe a novel one-incision surgical technique for PCL reconstruction.
- To evaluate the feasibility of using autogenous hamstring tendons with Endobutton femoral fixation.
- To highlight the adaptability of this technique to various graft materials.
Main Methods:
- A surgical technique using autogenous hamstring tendons is detailed.
- Endobutton femoral fixation is employed for graft securement.
- The procedure is designed for a single incision on the tibial side.
Main Results:
- The described technique allows for PCL reconstruction through a single incision.
- It eliminates the need for a separate incision on the femoral side.
- The method is versatile, accommodating bone-patellar tendon-bone, hamstring, or Achilles tendon grafts.
Conclusions:
- The one-incision technique with hamstring tendons and Endobutton fixation is a viable option for PCL reconstruction.
- This approach simplifies the surgical procedure and reduces operative morbidity.
- The technique's adaptability enhances its clinical applicability for diverse graft options.