TransMedial All-Inside Posterior Cruciate Ligament Reconstruction Using a Reinforced Tibial Inlay Graft Tamara J. Nancoo, M.A.(Hons), M.B.B.Chir., P.G.Dip.(SEM),

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TransMedial All-Inside Posterior Cruciate Ligament Reconstruction Using a Reinforced Tibial Inlay Graft Tamara J. Nancoo, M.A.(Hons), M.B.B.Chir., P.G.Dip.(SEM), F.R.C.S.(Tr&Orth), Breck Lord, M.A.(Hons), M.B.B.Chir., M.R.C.S., Sam K. Yasen, M.B.B.S., B.Sc.(Hons), M.R.C.S., James O. Smith, B.M., B.Sc.(Hons), M.R.C.S., Michael J. Risebury, M.A.(Hons), M.B.B.S.(Hons), F.R.C.S.(Tr&Orth), Adrian J. Wilson, M.B.B.S., B.Sc.(Hons), F.R.C.S.(Tr&Orth) Arthroscopy Techniques Volume 2, Issue 4, Pages e381-e388 (November 2013) DOI: 10.1016/j.eats.2013.06.006 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 Instruments used in TransMedial PCLR socket preparation. (A) Curved calibrated RF device (Coolcut CaliBlator) used to clear the PCL footprint and to measure and mark the socket position. (B) AL portal view of the RF probe tip used in marking the femoral socket position in a right knee. (C) RF probe tip used to clear the tibial footprint of a left knee as the RF arm retracts the posterior capsule. (D) Tibial aiming guide, positioned over the marked retro-socket position within the tibial footprint of the left knee. (E) Intraoperative fluoroscopic (lateral view) confirmation of guide pin placement in the tibial footprint of a left knee. Arthroscopy Techniques 2013 2, e381-e388DOI: (10.1016/j.eats.2013.06.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 Composite polymer tape of a reinforced Arthrex GraftLink is anchored in the anterior tibial cortex, providing supplementary fixation in a right knee. Arthroscopy Techniques 2013 2, e381-e388DOI: (10.1016/j.eats.2013.06.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 3 Hamstring grafts used in transmedial PCLR: (A) GraftLink, (B) GraftLink reinforced with FiberTape, and (C) TriLink. Arthroscopy Techniques 2013 2, e381-e388DOI: (10.1016/j.eats.2013.06.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 4 Postoperative radiographic appearance after right PCLR with a reinforced GraftLink construct: (A) anteroposterior view and (B) lateral view. Arthroscopy Techniques 2013 2, e381-e388DOI: (10.1016/j.eats.2013.06.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions