Posterior Cruciate Ligament All-Inside Reconstruction

R. Kyle Martin, Heath P. Melugin, Benjamin Freychet, Aaron J. Krych, Michael J. Stuart, Bruce A. Levy

Research output: Contribution to journalReview articlepeer-review


Several techniques for posterior cruciate ligament (PCL) reconstruction have been described. Reported clinical outcomes for the various techniques are often affected by concomitant injuries. Therefore, the optimal surgical technique choice remains controversial. Variations include transtibial versus tibial inlay, single-bundle versus double-bundle, and autograft versus allograft. The all-inside technique has recently been described as a transtibial method that uses adjustable loop suspensory fixation through sockets rather than tunnels on both the femur and tibia. This technique preserves more bone and may decrease the risk of tunnel convergence during multiligament reconstruction or concomitant meniscus procedures. This paper outlines the options available to surgeons performing PCL reconstruction and describes the authors' preferred technique for all-inside PCL reconstruction.

Original languageEnglish (US)
Pages (from-to)18-22
Number of pages5
JournalSports medicine and arthroscopy review
Issue number1
StatePublished - Mar 1 2020


  • all-inside
  • arthroscopic technique
  • cruciate ligament reconstruction
  • multiligament knee injury
  • posterior cruciate ligament

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation


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