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

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 TechVolume 2(1):e1

January 11, 2012

©2012 by The Journal of Bone and Joint Surgery, Inc.

Robert F. LaPrade, and Casey M. Pierce JBJS Essent Surg Tech 2012;2:e1




















Arthroscopic image showing the “slack” ACL (yellow arrow) due to the loss of support from the torn PCL.



Arthroscopic image showing a coagulator marking the PCL bundle attachment sites on the femur.



Arthroscopic image showing the “shiny white fibers” of the posterior horn of the medial meniscus (yellow arrow).



Intraoperative photograph showing proper placement of the tibial guide prior to drilling of the guidepin.



Fig. 5-A Intraoperative photograph showing proper placement of the tibial guidepin at approximately a 45° angle to the tibial shaft or diaphysis.



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).



Arthroscopic image showing the proper location of the femoral tunnels viewed through the anterolateral portal.



Intraoperative photograph showing the femoral bundle grafts.



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).



Intraoperative photographs showing fixation of the reconstruction bundle grafts to the tibia with use of surgical staples.



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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joint surgery

journal of bone

pierce jbjs essent surg

arthroscopic image

tibial guidepin

intraoperative photograph

proper placement

tibial tunnel guidepin