Tips for Successful Double-Bundle Posterior Cruciate Ligament Reconstruction

Posterior cruciate ligament (PCL) injuries are a relatively common knee injury that can occur in isolation but are more commonly associated with multiligamentous knee injuries. PCL reconstruction is a technically challenging and complex orthopaedic procedure. Improper reconstruction techniques may result in significant complications, including residual instability, graft failure, and damage to adjacent neurovascular structures. Several strategies can be implemented to obtain improved outcomes while mitigating complications, including techniques for optimizing arthroscopic visualization, graft preparation/tensioning, tunnel positioning, and postoperative rehabilitation. This Technical Note outlines our tips for successful double-bundle PCL reconstruction.