Arthroscopic posterior cruciate ligament tibial inlay reconstruction

Posterior Cruciate Ligament Tibial Insertion Anatomy and Implications for Tibial Tunnel Placement

“…4 Furthermore, for the tibial tunnel in the PCL, the focus has been to prevent the killerturn effect and neurovascular injury. [5][6][7][8] The posterior aspect of the proximal tibia has a unique 3-dimensional anatomy compared with the mid or distal tibia, because multiple structures change abruptly, including the tibial plateau, posterior intercondylar fossa, and posterior cortex. The PCL inserts to the sloping central depression between the medial and lateral portions of the tibial plateau, and this insertion is distinct from the vertical cortex of the tibia (Fig 1A and 1B).…”

Is the All-arthroscopic Tibial Inlay Double-bundle PCL Reconstruction a Viable Option in Multiligament Knee Injuries?

“…The tibial inlay PCL reconstruction technique was first introduced in 1995 to circumvent the killer turn of the conventional transtibial technique [3]. The inlay technique has subsequently evolved into an all-arthroscopic procedure, the major advantage of which is the elimination of open dissection adjacent to the popliteal neurovascular structures [20,58].…”

Ruptura del ligamento cruzado posterior. Fijacion cortical retrógrada. [Rupture of posterior cruciate ligament. Retrograde cortical tibial fixation]

“…Es discutible si los resultados de la técnica inlay [38][39][40][41] son mejores, podría ser por la fuerte fijación tibial o como hay un solo túnel, la fricción es menor y se tensa más el injerto, pero esta técnica resulta menos demandante y no hay que abrir el hueco poplíteo.…”