Surgical management of an isolated grade III posterior cruciate ligament tear has been enveloped in debate since the first reconstruction technique report was written by Hey Groves in 1919. With the evolution of arthroscopy, party lines have been drawn over tibial inlay versus transtibial techniques, as well as single-versus double-bundle techniques. More subtle controversy exists regarding autograft versus allograft, outside-in versus inside-out drilling, and treatment of the tibial footprint of the posterior cruciate ligament. New remnant-sparing techniques, using a transseptal posterior portal, may augment biology, maintain better proprioception, and mitigate abrasive wear at the "killer turn." However, longer-term comparative studies will be necessary to determine the existence of any clinically significant improvement in outcome.
Acetabular cartilage defects are commonly found along the chondrolabral junction, particularly in the presence of severe CAM deformities. Large defects, when left untreated, can lead to significant pain and progressive joint deterioration. We have developed an all-arthroscopic technique to graft these cartilage lesions using ProChondrix, an off-theshelf, cryopreserved, fresh osteochondral allograft. This technique can easily be combined with standard femoroplasty, rim trimming, and labral repairs in order to address all of these connected pathologies and ultimately improve patient outcomes.
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