AANA19 Knee Access Pass-Master Series_ Posterior Cruciate Reconstruction - The Truth-Dr. Christopher D. Harner, M.D.

Master Series_ Posterior Cruciate Reconstruction - The Truth-Dr. Christopher D. Harner, M.D.

Video Transcription

Video Summary

Dr. Kelly discusses PCL reconstruction, emphasizing his use of the trans-tibial tunnel technique and preservation of meniscafemoral ligaments. His approach is based on extensive scientific study since 1988, focusing on the anatomy and biomechanics of the PCL's three components, especially the anterolateral bundle. He uses Achilles tendon or quadriceps autografts with bone placed on the tibial side. Surgeries involve precise arthroscopic tunnel placement confirmed by fluoroscopy. Postoperative rehab is conservative—bracing in full extension for four weeks and gradual return to activities by 8-12 weeks, with sports resumption at 9-12 months. This technique aims for anatomical reconstruction and improved stability.

Keywords

PCL reconstruction

trans-tibial tunnel technique

meniscafemoral ligament preservation

anterolateral bundle anatomy

Achilles tendon autograft