AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Reconstruccion LCP con dispositivo cortical y fresado retrogrado

Reconstruccion LCP con dispositivo cortical y fresado retrogrado

Video Transcription

Video Summary

Dr. Daniel S. Lulita demonstrates posterior cruciate ligament reconstruction using a cortical device and retrograde reaming. The procedure begins with cleaning the intercondyle and assessing the anterior cruciate ligament. Through a posteromedial approach, the posterior capsule and ligament footprint are carefully dissected. Retrograde reaming is performed at the tibial insertion to avoid cortex breakage, followed by femoral tunnel creation near the cartilage. High-strength sutures assist in graft traction and placement. The semitendinosus tendon is passed through tunnels, secured with a cortical device, and tightened by cycling and pulling to ensure graft stability.

Keywords

posterior cruciate ligament reconstruction

cortical device

retrograde reaming

semitendinosus tendon graft

posteromedial approach