LARS PCL Reconstruction Technique

 

Indication

 

1.  Acute < 3/52

- single bundle

 

2.  Chronic

- double bundle

 

Technique Single Bundle

 

Video of LARS PCL surgical technique

 

Set up

- knee at 90 degrees on bolster

- x-ray getting lateral of knee

 

Tibial tunnel

- lateral arthroscopy portal

- small medial parapatellar approach

- insert PCL jig

- hooks over back of tibia

- check position on fluoroscopy

- pass beath pin

- drill 6 mm

- pass loop wire

 

 

Femoral tunnel

- isometric point

- line parallel to Blumensaat's

- largest part of femoral condyle

- 40% from anterior aspect

- ensure 1 cm from articular cartilage

- pass wire, drill outside in

- pass loop wire

 

 

Pass graft

- graft enters via medial parapatellar incision

 

Insert Femoral screw

 

Tension

- check tibial step off is reduced

- posterior tibia in line with posterior femur at 90^o