Technical Considerations in Posterior Cruciate Ligament Reconstruction. A Canadian Perspective

The experience of two Canadian surgeons at separate university centers is discussed. The majority of posterior cruciate ligament (PCL) injuries encountered are associated with multiligament knee injuries and knee dislocations. Although not optimal, it is not unusual to have these injuries referred for orthopaedic assessment on a chronic basis. In the setting of multiligament injury we prefer to proceed with timely reconstruction of the PCL with a tendo-Achilles allograft in a single bundle construct. Other high-grade ligament injuries are repaired and/or reconstructed simultaneously as appropriate. Double bundle reconstructions are reserved for isolated PCL injury or in revision situations.