All-Inside Posterior Cruciate Ligament Reconstruction With a GraftLink

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All-Inside Posterior Cruciate Ligament Reconstruction With a GraftLink Gerard G. Adler, M.D. Arthroscopy Techniques Volume 2, Issue 2, Pages e111-e115 (May 2013) DOI: 10.1016/j.eats.2012.12.004 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 GraftLink construct of anterior tibialis allograft tripled, 10 mm in diameter. The graft length was 90 mm. The tibial end of the graft with the insertion depth of 40 mm is shown on the left; the intra-articular portion of the graft measured 30 mm; and the femoral end of the graft, shown on the right, was marked at 20 mm. The graft was tensioned at 15 lb for 20 minutes. Arthroscopy Techniques 2013 2, e111-e115DOI: (10.1016/j.eats.2012.12.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic view of right knee with 70° arthroscope, with Anatomic Contour PCL guide in center of PCL tibial footprint. Arthroscopy Techniques 2013 2, e111-e115DOI: (10.1016/j.eats.2012.12.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 3 Fluoroscopic view of right knee with 10.5-mm FlipCutter creating tibial socket. The Anatomic Contour PCL guide protects the popliteal neurovascular structures. Arthroscopy Techniques 2013 2, e111-e115DOI: (10.1016/j.eats.2012.12.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view of medial femoral condyle in right knee with 30° arthroscope. The PCL guide for the FlipCutter is in the middle of the PCL femoral footprint. Arthroscopy Techniques 2013 2, e111-e115DOI: (10.1016/j.eats.2012.12.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic view of medial femoral condyle in right knee with 30° arthroscope. A rasp was used to chamfer the proximal aspect of the femoral tunnel. Arthroscopy Techniques 2013 2, e111-e115DOI: (10.1016/j.eats.2012.12.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 6 An arthroscopic view of the right knee with a 30° arthroscope shows the anterior tibialis allograft GraftLink construct. The ACL posterior sag noted before the reconstruction has resolved. Arthroscopy Techniques 2013 2, e111-e115DOI: (10.1016/j.eats.2012.12.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 7 Fluoroscopic anteroposterior and lateral views of right knee with TightRope RTs securing PCL GraftLink construct. Arthroscopy Techniques 2013 2, e111-e115DOI: (10.1016/j.eats.2012.12.004) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions