We describe an arthroscopic technique for reconstruction of the poster
ior cruciate ligament (PCL) using a four-strand hamstring tendon graft
. The femoral tunnel is drilled via the anterolateral portal and the t
ibial tunnel through the skin incision from the graft harvest. The gra
ft is pulled through the tunnels with pullout sutures and fastened wit
h interference screws. The results to date are good and the procedure
can often be performed as day surgery.