Arthroscopic Primary Repair of Mid‐Substance Posterior Cruciate Ligament Tears With Knotless Dual‐Suspensory Fixation

Abstract

Posterior cruciate ligament (PCL) tears can spontaneously heal, but often heal with excess laxity. In contrast to well‐documented arthroscopic proximal and distal PCL tear repairs, the most prevalent mid‐substance tear is typically managed conservatively, or with full reconstruction. We describe an arthroscopic technique for mid‐substance PCL repair, applying construct elements from current anterior cruciate ligament repair to bidirectionally unite the 2 halves of the torn PCL, then reinforce the repair with suture tape. This all‐arthroscopic repair aims to directly restore PCL continuity and maintain tension, without compromising its inherent healing potential.