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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 2/2018

01-06-2018 | PCL Update (K Jones and M Alaia, section editors)

Open Tibial Inlay PCL Reconstruction: Surgical Technique and Clinical Outcomes

Authors: Evan E. Vellios, Kristofer J. Jones, David R. McAllister

Published in: Current Reviews in Musculoskeletal Medicine | Issue 2/2018

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Abstract

Purpose of Review

To review the current literature on clinical outcomes following open tibial inlay posterior cruciate ligament (PCL) reconstruction and provide the reader with a detailed description of the author’s preferred surgical technique.

Recent Findings

Despite earlier biomechanical studies which demonstrated superiority of the PCL inlay technique when compared to transtibial techniques, recent longitudinal cohort studies have shown no significant differences in clinical or functional outcomes at 10-year follow-up. Furthermore, no significant clinical differences have been shown between graft types used and/or single- versus double-bundle reconstruction methods.

Summary

The optimal treatment for the PCL-deficient knee remains unclear. Open tibial inlay PCL reconstruction is safe, reproducible, and avoids the “killer turn” that may potentially lead to graft weakening and failure seen in transtibial reconstruction methods. No significant differences in subjective outcomes or clinical laxity have been shown between single-bundle versus double-bundle reconstruction methods.
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Metadata
Title
Open Tibial Inlay PCL Reconstruction: Surgical Technique and Clinical Outcomes
Authors
Evan E. Vellios
Kristofer J. Jones
David R. McAllister
Publication date
01-06-2018
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 2/2018
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-018-9490-3

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