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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 5/2016

01-05-2016 | Pearls

Pearls: How I Create the Tibial Socket for PCL Reconstruction

Author: Bruce A. Levy, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 5/2016

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Excerpt

Some of the most difficult aspects of PCL reconstruction are getting to the posterior aspect of the tibia, finding the anatomic insertion site of the PCL, and drilling the tibial socket or tunnel. The popliteal neurovascular structures are in close proximity. Because of this, exposure is critical to ensure safety as well as proper graft placement [1, 5]. …
Literature
1.
Anderson CJ, Ziegler CG, Wijdicks CA, Engebretsen L, LaPrade RF. Arthroscopically pertinent anatomy of the anterolateral and posteromedial bundles of the posterior cruciate ligament. J Bone Joint Surg Am. 2012;94:1936–1945.CrossRefPubMed
2.
King AH, Prince MR, Reardon PJ, Levy BA, Stuart MJ. All-inside posterior cruciate ligament reconstruction. [Published online ahead of print August 31, 2015]. Oper Tech Sports Med. DOI:10.​1053/​j.​otsm.​2015.​06.​012.
3.
Levy BA, Boyd JL, Stuart MJ. Surgical treatment of acute and chronic anterior and posterior cruciate ligament and lateral side injuries of the knee. Sports Med Arthrosc. 2011;19:110–119.CrossRefPubMed
4.
Levy BA, Fanelli GC, Miller MD, Stuart MJ. Advances in posterior cruciate ligament reconstruction. Instr Course Lect. 2015;64:543–554.PubMed
5.
Miller MD, Kline AJ, Gonzales J, Beach WR. Vascular risk associated with a posterior approach for posterior cruciate ligament reconstruction using the tibial inlay technique. J Knee Surg. 2002;15:137–140.PubMed
Metadata
Title
Pearls: How I Create the Tibial Socket for PCL Reconstruction
Author
Bruce A. Levy, MD
Publication date
01-05-2016
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 5/2016
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-015-4641-y

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