Nonanatomic Posteromedial Bundle Augmentation of the Posterior Cruciate Ligament after Hyperextension Trauma

Maximiliano Ibañez, Jérôme Valcarenghi, Felix Hoffmann, Caroline Mouton, Charles Pioger, Renaud Siboni, Joan Carles Monllau, Romain Seil*

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

Abstract

The surgical management of posterior cruciate ligament (PCL) injuries can be challenging. As most PCL injuries occur in a flexed knee position, the anterolateral bundle is thought to be more commonly injured than the posteromedial bundle (PMB); however, in hyperextension, the PMB plays a more significant role. The smaller size of the PMB compared with the anterolateral bundle and its lower strength may explain why isolated hyperextension PMB injuries can be easily overlooked. In this Technical Note, a novel surgical technique to perform a nonanatomic PMB augmentation of the PCL using a gracilis tendon autograft or allograft is reported. These technical features aim to overcome current limitations in existing techniques to address the symptoms after partial PCL hyperextension injuries.

Original languageEnglish
Article number103013
JournalArthroscopy Techniques
DOIs
Publication statusAccepted/In press - 27 Apr 2024

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