Double Bundle PCL Technique
Arthrex Double Bundle PCL Guides were developed to accurately and reproducibly create femoral tunnels during arthroscopic double-bundle PCL reconstruction. Specially designed guides simplify guide pin placement for anterolateral and posteromedial femoral tunnel sockets drilled arthroscopically from an anterolateral portal. During anterolateral tunnel placement, a guide can be used to reference and offset the tunnel 2 mm from the articular cartilage margin or as a visual aid that simulates exact tunnel position and size. The guides will mimic the subsequent drill hole and, therefore, make exact tunnel placement possible. Refer to the products tab for a detailed outline of additional products used in this technique.
PCL BTB Graft Fixation
Arthrex offers a wide variety of graft fixation for PCL BTB reconstruction. These include the BTB TightRope with a variety of button options, as well as titanium screws, bioresorbable screws and BioComposite screws.
PCL BTB Graft Harvest and Preparation
Arthrex® offers a wide range of products to aid the surgeon with bone-tendon-bone graft harvesting and preparation. The Parallel Graft Knife is designed for harvesting the patellar or quadriceps tendon for use during PCL reconstruction. The parallel blades create a precise cut in a single pass. Graft harvesting cutting guides and saw blades are used to harvest an ideal trapezoidal-shaped bone plug with predrilled suture holes from both the patella and the tibia; the cutting guides provide consistent, reproducible results during tendon harvest. Arthrex also provides additional instrumentation to aid in BTB graft preparation including a Graft Harvesting Osteotome, Retractor and ACL Graft Shaper.
PCL Hamstring Graft Harvest and Preparation
Arthrex® offers the most advanced techniques and instruments for hamstring harvesting and preparation. Harvesting can be accomplished safely and reproducibly both from the traditional anterior approach or through a posterior approach using the minimally invasive hamstring harvest technique and specialized tendon strippers.The Arthrex Graft Prep Station offers a variety of interchangeable clamps and posts to facilitate graft tensioning and suturing.Graft preparation has been revolutionized with the FiberLoop line of suture and SpeedWhip technique. The continuous loops of #2 or #0 suture and free floating straight or curved needles allow reproducible graft suturing in half the time of traditional straight sutures.
PCL RetroConstruction™ System / FlipCutter® III Drill
Create minimally invasive inside-out sockets with the FlipCutter drill, an innovative all-in-one guide pin and reamer. The FlipCutter drill provides a whole new level of freedom in socket positioning and is ideal for hard-to-reach areas, such as tibial socket creation for PCLR, anatomic femoral socket creation for ACLR, socket creation for meniscal allograft, and meniscal root avulsion. Retrograde sockets may be accurately placed in diameters ranging from 6 mm to 13 mm using the RetroConstruction drill guide system.
PCL Soft Tissue Graft Fixation
Arthroscopic-assisted surgical reconstruction of the PCL using the FlipCutter RetroConstruction technology allows for more anatomic placement and safer drilling in the posterior aspect of the knee. Antergrade drilling can also be performed using low profile reamers in a far lateral portal to avoid iatrogenic injury. Allograft fixation is accomplished with Interference Screws (BioComposite, Titanium). Either a single bundle or double-bundle allograft reconstruction can be performed using these techniques. Some surgeons may elect to use back-up, extra-cortical fixation with a staple, PushLock or SwiveLock.
Transtibial PCL Reconstruction
The streamlined PCL ToolBox contains all the necessary instruments for performing a variety of modern PCL reconstruction techniques. The set includes the RetroConstruction™ Drill Guide System with drill sleeves for use with the FlipCutter® reamer, RetroDrill® reamer, and standard 2.4 mm guide pins.