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Double-Bundle Posterior Cruciate Ligament Reconstruction Technique with Use of Endoscopic Femoral Graft Placement by Robert F. LaPrade, and Casey M. Pierce.

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Presentation on theme: "Double-Bundle Posterior Cruciate Ligament Reconstruction Technique with Use of Endoscopic Femoral Graft Placement by Robert F. LaPrade, and Casey M. Pierce."— Presentation transcript:

1 Double-Bundle Posterior Cruciate Ligament Reconstruction Technique with Use of Endoscopic Femoral Graft Placement by Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech Volume 2(1):e1 January 11, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

2 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

3 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

4 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

5 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

6 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

7 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

8 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

9 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

10 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

11 Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

12 Arthroscopic image showing the “slack” ACL (yellow arrow) due to the loss of support from the torn PCL. Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

13 Arthroscopic image showing a coagulator marking the PCL bundle attachment sites on the femur. Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

14 Arthroscopic image showing the “shiny white fibers” of the posterior horn of the medial meniscus (yellow arrow). Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

15 Intraoperative photograph showing proper placement of the tibial guide prior to drilling of the guidepin. Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

16 Fig. 5-A Intraoperative photograph showing proper placement of the tibial guidepin at approximately a 45° angle to the tibial shaft or diaphysis. Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

17 Intraoperative anteroposterior fluoroscopic view (Fig. 6-A) and lateral fluoroscopic view (Fig. 6- B) demonstrating the proper position for the tibial tunnel guidepin and the “champagne-glass drop-off” (yellow line). Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

18 Arthroscopic image showing the proper location of the femoral tunnels viewed through the anterolateral portal. Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

19 Intraoperative photograph showing the femoral bundle grafts. Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

20 Intraoperative photographs showing the PCL reconstruction grafts before they are passed through the tibial tunnel (Fig. 9-A) and the proper position after they are passed through the tibial tunnel (Fig. 9-B). Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.

21 Intraoperative photographs showing fixation of the reconstruction bundle grafts to the tibia with use of surgical staples. Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1 ©2012 by The Journal of Bone and Joint Surgery, Inc.


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