A new arthroscopic method for reconstructing the anterior and posterior cruciate ligaments using a single-incision technique: Simultaneous grafting of the autogenous semitendinosus and patellar tendons

We established a simultaneous reconstruction method for ruptured anterior a nd posterior cruciate ligaments (ACL, PCL) using a single-incision techniqu e. Residual PCL was used to determine the position of bone tunnel for ACL r econstruction. The bone tunnel position on the tibia for PCL reconstruction was arthroscopically confirmed by conducting through debridement from the posteromedial portal. Reconstruction substitutes were patellar-tendon bone- tendon-bone for ACL, and semitendinosus tendon for PCL. In the fixation pro cedure, the PCL substitute was fixed using the Endobutton (Smith & Nephew, Andover, MA) and a ceramic button, and the ACL substitute was fixed with an interference screw. During the surgery. radiographic monitoring and the PC L guide system were not required.