ARTHROSCOPIC-ASSISTED POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING PATELLAR TENDON AUTOGRAFT - A TECHNIQUE FOR GRAFT PASSAGE

During arthroscopic posterior cruciate ligament (PCL) reconstruction, passage of the graft into the knee joint may be difficult, especially when using the patellar tendon. Because of the angle of passage, the b one block ends may become entangled or caught on the superior edge of the posterior tibial tunnel when passing the graft from the tibia to t he femur. The use of a blunt trocar through the posteromedial portal a voids impingement of the bone block against the edge of the tibial tun nel. This method uses the pulley principle and permits the graft to pa ss freely into the knee. This method has been used successfully by the authors in more than 40 PCL arthroscopic reconstructions.