1. Reconstruction of the Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung, Ho-Joong Jung, Suk-Kee Tae, Yong-Seuk Lee, and Kee-Hyun Lee J Bone Joint Surg Am Volume 87(1 suppl 2):247-263 September 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

2. The center of the femoral tunnel is 5 to 6 mm proximal to the articular cartilage at the eleven o'clock position (left knee). Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

3. The exposure of the distal femoral cortex for the femoral tunnel. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

4. A guide pin is placed for the femoral tunnel. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

5. An 18-gauge wire loop. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

6. The wire loop is directed toward the medial side of the remnant of the posterior cruciate ligament. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

7. The operating table is tilted down on the affected side for the posterior approach. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

8. A gently curved longitudinal incision is made in the posteromedial aspect of the knee. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

9. The medial border of the medial head of the gastrocnemius muscle is identified, and the interval between it and the semimembranosus tendon is developed, exposing the posterior aspect of the joint capsule. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

10. The popliteus muscle is exposed between the medial head of the gastrocnemius and the semimembranosus tendon. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

11. The posteromedial surface of the proximal part of the tibia is exposed by subperiosteal detachment of the popliteus muscle. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

12. The bone block of the tibial attachment site of the posterior cruciate ligament is detached with use of a curved osteotome, and a trough is created. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

13. Traction is applied to the tibial attachment of the posterior cruciate ligament with the suture. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

14. A 6.5-mm cannulated screw and a spiked washer are used to fix the graft to the tibia. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

15. Radiographs of a twenty-seven-year-old professional soccer player who sustained injuries to the anterior cruciate ligament, posterior cruciate ligament, and medial collateral ligament in a soccer game. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

16. Postoperative stress radiographs made four years after reconstruction of the posterior cruciate ligament with the modified tibial inlay method and reconstruction of the anterior cruciate ligament show a 1-mm side-to-side difference with an anterior drawer a... Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

17. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

18. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

19. The graft is fixed on the medial side, and the bone block is fixed just lateral to the graft without damaging it. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

20. Both a screw and a staple can be used to achieve secure fixation. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

21. Radiographs of a twenty-eight-year-old athlete who sustained a combined injury of the anterior and posterior cruciate ligaments while practicing Judo. Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.

22. Postoperative stress radiographs made three years after reconstruction of the posterior cruciate ligament with use of the updated modified tibial inlay method (tensioning of the remnant of the posterior cruciate ligament and reconstruction of the anterolate... Young-Bok Jung et al. J Bone Joint Surg Am 2005;87:247- 263 ©2005 by The Journal of Bone and Joint Surgery, Inc.