All-Inside Posterior Cruciate Ligament Reconstruction

Posterior cruciate ligament injuries can occur in isolation or in combination with other knee ligament injuries. In the setting of a multiligament injury, posterior cruciate ligament reconstruction enhances patient function. Several techniques and graft options exist; however, the optimal treatment strategy has yet to be elucidated. This article describes a safe, effective, and reliable all-inside, arthroscopic approach using a quadrupled tibialis anterior or peroneus longus allograft secured with both tibial and femoral suspensory fixation.