Arthroscopic-assisted simultaneous reconstruction of the posterior cruciate ligament and the lateral collateral ligament using hamstrings and absorbable screws

Arthroscopic-assisted simultaneous reconstruction of the posterior cruciate ligament (PCL) and the lateral collateral ligament (LCL) using hamstring t endon grafts is described. The femoral tunnel is drilled through an incisio n over the medial femoral condyle and the tibial tunnel through the same sk in incision used for harvesting the tendon graft. PCL reconstruction is per formed using a 4-strand hamstring tendon graft and absorbable screw fixatio n. The tendon of the semitendinosus muscle of the uninvolved knee is used a s a lateral loop for LCL reconstruction. After pulling the transplant throu gh the fibular head, femoral fixation of the loop is made with an absorbabl e screw.