Double-Bundle “All-Inside” Posterior Cruciate Ligament Reconstruction

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Presentation transcript:

Double-Bundle “All-Inside” Posterior Cruciate Ligament Reconstruction Daniel Slullitel, M.D., Hernan Galan, M.D., Vanina Ojeda, M.D., Matias Seri, M.D. Arthroscopy Techniques Volume 1, Issue 2, Pages e141-e148 (December 2012) DOI: 10.1016/j.eats.2012.05.006 Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 1 Drill sleeve showing laser marks (arrows) that measure the anteroposterior width of the tibial metaphysis in a left knee, as well as 5-mm markings on the FlipCutter shaft. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 2 TR sliding in tibialis anterior graft and folding it in 2. This TR is in the PM band one in the left knee. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 3 New TightRope (T) sliding in the folded graft in a left knee on the tibial side. Whip-stitched strands form the AL femoral band. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 4 Finished graft. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 5 Tibial TightRope (T) with AL band measuring 8 cm in length and PM band measuring 7 cm. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 6 Left knee through AL portal view. A guide hook (G) is used to push the posterior capsule away from the FlipCutter (FC). Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 7 Drill sleeve in position showing markings. The arrow shows the relation between the RetroConstruction guide and sleeve for measuring width. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 8 Tibial side of the graft with the TightRope (T) in position all the way down in the tibial socket of a left knee, lowering the AL band and PM band inside the joint. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 9 Beath pin through an AL portal in a left knee fed with AL band sutures. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 10 Beath pin being raised into the socket of the AL band. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 11 (A) PM band in position with loose TR. (B) Tensioning on femoral and tibial sides. Arthroscopy Techniques 2012 1, e141-e148DOI: (10.1016/j.eats.2012.05.006) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions