Quad Tendon Autograft for Posterior Cruciate Ligament Reconstruction Using Transseptal and Posteromedial Portals

Victor Germon; Sylvain Guy; Alice Abs; Alexandre Ferreira; Christophe Jacquet; Jean-Noël Argenson; Matthieu Ollivier; Corentin Pangaud

doi:10.1016/j.eats.2023.02.003

Quad Tendon Autograft for Posterior Cruciate Ligament Reconstruction Using Transseptal and Posteromedial Portals

Arthrosc Tech. 2023 Apr 24;12(5):e751-e755. doi: 10.1016/j.eats.2023.02.003. eCollection 2023 May.

Authors

Victor Germon^{1

2

3}, Sylvain Guy¹, Alice Abs^{1

3}, Alexandre Ferreira⁴, Christophe Jacquet^{1

2

3}, Jean-Noël Argenson^{1

2

3}, Matthieu Ollivier^{1

2

3}, Corentin Pangaud^{1

2}

Affiliations

¹ Public Teaching Hospital of Marseille, Marseille, France.
² Aix-Marseille University, Marseille, France.
³ Institute of movement and locomotion, Marseille, France.
⁴ Public Teaching Hospital of Caen, Caen, France.

Abstract

We describe a surgical technique for reconstruction of the posterior cruciate ligament with quad tendon autograft using transseptal portal. We place the guide for the tibial socket through the posteromedial portal instead of transnotch, which is the most common practice. The use of the transseptal portal allows good visualization during the drilling of the tibial socket to protect the neurovascular bundle while avoiding the use of fluoroscopy. The advantage of using the posteromedial approach is the easy placement of the drill guide and to option to pull the graft once through the posteromedial portal and a second time through the notch, which helps passing the "killer turn." The quad tendon is harvested with a bone block that is placed in the tibial socket and fixed with screws in the tibial and femoral side.