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PCL Reconstruction Using LARS Artificial Ligament

February 01, 2013

Contributors: David Houlihan-Burne, MD; Kash Akhtar, FRCS; Kash Akhtar, FRCS

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

The posterior cruciate ligament (PCL) provides primary restraint to posterior translation of the tibia on the femur and secondary restraint to varus and valgus forces applied to the knee. Traditionally, there has been much debate over conservative versus surgical treatment of PCL injuries but there is an increasing tendency to consider surgical reconstruction for symptomatic patients experiencing instability. Autograft, allograft, and artificial ligaments can be used for PCL reconstruction. Artificial ligaments are readily available and have the advantage of avoiding the risk of donor site morbidity and disease transmission. An increasing number of studies demonstrate good clinical outcomes using the Ligament Advanced Reinforcement System (LARS) artificial ligament. In this video, the authors demonstrate the clinical findings on examination of a PCL deficient knee, appropriate theatre setup, correct portal placement, intra-operative arthroscopic and fluoroscopic images, and the steps of the surgical technique for PCL reconstruction using LARS artificial ligament.

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