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 90o