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

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.

Automated summary

PCL reconstruction is a technically demanding surgery, and optimal identification of the femoral and tibial anatomical footprints is crucial. Creating a posteromedial portal is recommended to aid in tibial tunnel placement. Adding a second portal could further improve the reconstruction process by enhancing anatomical footprint identification, clearing the stump, and facilitating graft passage.