Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon
The posterior cruciate ligament is the primary posterior stabilizer of the knee. Posterior cruciate ligament reconstruction (PCLR) has been demonstrated to improve outcomes and stability of the knee compared with conservative management. Numerous techniques are available to the treating surgeon, suc...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724003025 |
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| author | Michael Held, M.D., Ph.D., F.C. Orth S.A., M.Med. Orth. David North, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. Richard von Bormann, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. Waldo Scheepers, M.B.Ch.B., M.Sc. Med. |
| author_facet | Michael Held, M.D., Ph.D., F.C. Orth S.A., M.Med. Orth. David North, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. Richard von Bormann, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. Waldo Scheepers, M.B.Ch.B., M.Sc. Med. |
| author_sort | Michael Held, M.D., Ph.D., F.C. Orth S.A., M.Med. Orth. |
| collection | DOAJ |
| description | The posterior cruciate ligament is the primary posterior stabilizer of the knee. Posterior cruciate ligament reconstruction (PCLR) has been demonstrated to improve outcomes and stability of the knee compared with conservative management. Numerous techniques are available to the treating surgeon, such as the double-bundle PCLR technique, which has biomechanical superiority over single-bundle PCLR. Residual knee laxity is decreased, native knee kinematics are better replicated, and improved subjective and objective outcomes have been reported with anatomic double-bundle PCLR. The potential disadvantages of allografts and the use of multiple grafts have created the need for the use of a double-bundle PCLR with a single autograft. Peroneus longus tendon (PLT) grafts are frequently used in anterior cruciate ligament reconstructions, and good results have been reported with their use in single-bundle PCLR. The advantages of the PLT graft include a long length, large cross-sectional area, and a simple harvesting technique. This article describes the arthroscopic technique of using the PLT for a single-graft double-bundle PCLR. |
| format | Article |
| id | doaj-art-e4607566cf9b41bb80fd7c31c82dd577 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-e4607566cf9b41bb80fd7c31c82dd5772025-01-30T05:14:07ZengElsevierArthroscopy Techniques2212-62872025-01-01141103169Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus TendonMichael Held, M.D., Ph.D., F.C. Orth S.A., M.Med. Orth.0David North, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth.1Richard von Bormann, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth.2Waldo Scheepers, M.B.Ch.B., M.Sc. Med.3Knee Unit, Orthopaedic Department, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa; Christiaan Barnard Hospital, Cape Town, South Africa; Address correspondence to Michael Held, M.D., Ph.D., F.C. Orth S.A. M.Med. Orth., Groote Schuur Hospital, H49 Old Main Building, Main Rd, Observatory, Cape Town, Western Cape 7935, South Africa.Orthopaedics Department, Paarl Hospital, Paarl, South AfricaChristiaan Barnard Hospital, Cape Town, South AfricaKnee Unit, Orthopaedic Department, University of Cape Town, Groote Schuur Hospital, Cape Town, South AfricaThe posterior cruciate ligament is the primary posterior stabilizer of the knee. Posterior cruciate ligament reconstruction (PCLR) has been demonstrated to improve outcomes and stability of the knee compared with conservative management. Numerous techniques are available to the treating surgeon, such as the double-bundle PCLR technique, which has biomechanical superiority over single-bundle PCLR. Residual knee laxity is decreased, native knee kinematics are better replicated, and improved subjective and objective outcomes have been reported with anatomic double-bundle PCLR. The potential disadvantages of allografts and the use of multiple grafts have created the need for the use of a double-bundle PCLR with a single autograft. Peroneus longus tendon (PLT) grafts are frequently used in anterior cruciate ligament reconstructions, and good results have been reported with their use in single-bundle PCLR. The advantages of the PLT graft include a long length, large cross-sectional area, and a simple harvesting technique. This article describes the arthroscopic technique of using the PLT for a single-graft double-bundle PCLR.http://www.sciencedirect.com/science/article/pii/S2212628724003025 |
| spellingShingle | Michael Held, M.D., Ph.D., F.C. Orth S.A., M.Med. Orth. David North, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. Richard von Bormann, M.B.Ch.B., F.C. Orth S.A., M.Med. Orth. Waldo Scheepers, M.B.Ch.B., M.Sc. Med. Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon Arthroscopy Techniques |
| title | Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon |
| title_full | Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon |
| title_fullStr | Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon |
| title_full_unstemmed | Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon |
| title_short | Surgical Technique of Single-Graft Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Peroneus Longus Tendon |
| title_sort | surgical technique of single graft double bundle posterior cruciate ligament reconstruction using the peroneus longus tendon |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724003025 |
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