Surgical technique: posterior cruciate ligament (PCL) reconstruction using double posteromedial arthroscopic portals

Gian Andrea Lucidi; Romain Seil; Piero Agostinone; Cécile Toanen; Alberto Grassi; Stefano Zaffagnini

doi:10.1186/s40634-023-00698-6

Surgical technique: posterior cruciate ligament (PCL) reconstruction using double posteromedial arthroscopic portals

J Exp Orthop. 2023 Dec 13;10(1):137. doi: 10.1186/s40634-023-00698-6.

Authors

Gian Andrea Lucidi¹, Romain Seil^{2

3

4}, Piero Agostinone⁵, Cécile Toanen⁶, Alberto Grassi¹, Stefano Zaffagnini¹

Affiliations

¹ Clinica Ortopedica E Traumatologica II, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli, 1, Bologna, Italy.
² Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg-Clinique d'Eich, 78 Rue d'Eich, Luxembourg, L‑1460, Luxembourg.
³ Sports Medicine and Science, Luxembourg Institute of Research in Orthopaedics, Luxembourg, Luxembourg.
⁴ Unit for Human Motion Orthopaedics, Sports Medicine and Digital Methods, Luxembourg Institute of Health, Luxembourg, Luxembourg.
⁵ Clinica Ortopedica E Traumatologica II, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli, 1, Bologna, Italy. piero.agostinone@ior.it.
⁶ Service de Chirurgie Orthopédique, Centre Hospitalier Départemental Vendée, La Roche-sur-Yon, France.

Abstract

The posterior cruciate ligament (PCL) reconstruction is a technically demanding surgical procedure that requires optimal identification of both the femoral and the tibial anatomical footprints. To aid the tibial tunnel placement and many authors recommend creating a posteromedial (PM) portal. The further addition of a second PM portal, which could be used as a "working portal", may further allow a more straightforward reconstruction by improving the identification of the anatomical footprint, the clearing of the stump, and the graft passage.