Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

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Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung, Suk-Kee Tae, Ho-Joong Jung, and Kee-Hyun Lee J Bone Joint Surg Am Volume 86(9): September 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Schematic diagrams of the modified tibial inlay technique. Young-Bok Jung et al. J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

The operating table is tilted 30° so that the knee to be operated on is lower than the contralateral knee for the posterior approach. Young-Bok Jung et al. J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

The medial border of the medial head of the gastrocnemius muscle is identified, and the interval between it and the semimembranosus tendon is dissected to expose the posterior joint capsule. Young-Bok Jung et al. J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

The bone block of the posterior cruciate ligament graft is fixed with a screw and washer with the knee in 70° of flexion. Young-Bok Jung et al. J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.

A long leg splint is used for two to three weeks postoperatively to hold the knee in extension. Young-Bok Jung et al. J Bone Joint Surg Am 2004;86: ©2004 by The Journal of Bone and Joint Surgery, Inc.