Posterior Cruciate Ligament (PCL) Reconstruction

PCL injuries occur during sports-related activities or high-velocity, traumatic accidents. Indications for operative treatment of PCL tears include acute injuries, active young patients, and either isolated grade 3 tears or combined injuries, such as a grade 2 injury with posterolateral corner instability.

Arthrex developed several techniques for isolated PCL injuries—including PCL inlay reconstruction, double-bundle PCL reconstruction, and the transtibial PCL RetroConstruction™ procedure—that can be combined with multiligament or posterolateral corner reconstruction.

Additionally, a comprehensive line of PCL reconstruction instrumentation is available for a variety of PCL reconstruction techniques, as well as autografts and allografts and single- or double-bundle options.

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PCL injuries occur during sports-related activities or high-velocity, traumatic accidents. Indications for operative treatment of PCL tears include acute injuries, active young patients, and either isolated grade 3 tears or combined injuries, such as a grade 2 injury with posterolateral corner instability.

Arthrex developed several techniques for isolated PCL injuries—including PCL inlay reconstruction, double-bundle PCL reconstruction, and the transtibial PCL RetroConstruction™ procedure—that can be combined with multiligament or posterolateral corner reconstruction.

Additionally, a comprehensive line of PCL reconstruction instrumentation is available for a variety of PCL reconstruction techniques, as well as autografts and allografts and single- or double-bundle options.

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Educational Resources and Products

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Double-Bundle PCLR Using All-Soft-Tissue Achilles Graft Prepared With FiberTag® TightRope® Implants

Thomas M. DeBerardino, MD
Surgical Technique Videos | 09:42 | English | 10/20/2021 | VID1-002776-en-US A
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Arthroscopic Inlay PCL Reconstruction with PCL TightRope®

Surgical Technique Animations | 01:53 | English | 01/17/2012 | AN1-00113-EN A
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Surgical Technique Videos (9)

All-Inside PCL Reconstruction Using a Quadriceps Tendon Autograft
All-Inside PCL Reconstruction Using a Quadriceps Tendon Autograft
Kendall Hamilton, MD
13:42 | English | 10/20/2022 | VID1-003422-en-US A
PCL Reconstruction Using the InternalBrace™ Technique
PCL Reconstruction Using the InternalBrace™ Technique
Bruce A. Levy, MD
05:49 | English | 10/27/2021 | VID1-00888-en-US B
Double-Bundle PCLR Using All-Soft-Tissue Achilles Graft Prepared With FiberTag® TightRope® Implants
Double-Bundle PCLR Using All-Soft-Tissue Achilles Graft Prepared With FiberTag® TightRope® Implants
Thomas M. DeBerardino, MD
09:42 | English | 10/20/2021 | VID1-002776-en-US A
GraftLink® PCL Reconstruction Using TightRope® II Implant With InternalBrace™ Technique
GraftLink® PCL Reconstruction Using TightRope® II Implant With InternalBrace™ Technique
Thomas M. DeBerardino, MD
18:24 | English | 06/30/2021 | VID1-001858-en-US A
ACL and PCL Reconstruction With the FlipCutter® III Drill
ACL and PCL Reconstruction With the FlipCutter® III Drill
Thomas M. DeBerardino, MD
10:35 | English | 09/09/2019 | VID1-000549-en-US A
PCL Reconstruction with Achilles Graft Using FiberLoop® with FiberTag™ Rip-Stop Technique
PCL Reconstruction with Achilles Graft Using FiberLoop® with FiberTag™ Rip-Stop Technique
Thomas M. DeBerardino, MD
13:27 | English | 03/28/2016 | VID1-00740-EN A
All-Inside PCL Reconstruction: Using the PCL GraftLink®
All-Inside PCL Reconstruction: Using the PCL GraftLink®
Bruce A. Levy, MD
12:58 | English | 06/05/2014 | VID1-00028-EN A
Simplified Posterior Portal Creation and Cannula Insertion Using the Knee Obturator
Simplified Posterior Portal Creation and Cannula Insertion Using the Knee Obturator
Joel Boyd, MD
06:23 | English | 05/13/2013 | VID1-0190-EN A
Minimally Invasive Hamstring Harvest Through a Posterior Incision
Minimally Invasive Hamstring Harvest Through a Posterior Incision
Patrick A. Smith, MD
Surgical Technique Videos | 26:08 | English | 01/29/2010 | VID1-003462-en-US A

Surgical Technique Animations (2)

FlipCutter® III Drill
FlipCutter® III Drill
01:55 | English | 01/07/2020 | AN1-000049-en-US D
Arthroscopic Inlay PCL Reconstruction with PCL TightRope®
Arthroscopic Inlay PCL Reconstruction with PCL TightRope®
01:53 | English | 01/17/2012 | AN1-00113-EN A

Surgical Technique Guides (6)

GraftLink® PCL Reconstruction
GraftLink® PCL Reconstruction
English | 12/02/2019 | LT1-0103-EN E
Minimally Invasive PCL Reconstruction with Allograft GraftLink® TS Construct
Minimally Invasive PCL Reconstruction with Allograft GraftLink® TS Construct
English | 05/18/2018 | LT1-00086-EN A
Transtibial PCL Reconstruction
Transtibial PCL Reconstruction
English | 03/22/2018 | LT1-0104-EN H
Minimally Invasive Hamstring Graft Harvesting
Minimally Invasive Hamstring Graft Harvesting
English | 06/04/2015 | LT1-0124-EN C
Knee Obturator for Posterior Portals
Knee Obturator for Posterior Portals
English | 03/08/2013 | LT1-0190-EN A
Double Bundle PCL Reconstruction
Double Bundle PCL Reconstruction
English | 10/04/2011 | LT0192 F

Brochures (7)

Innovation in Graft Preparation and Suture Management
Innovation in Graft Preparation and Suture Management
English | 01/12/2024 | LB1-00140-EN C
FlipCutter® III Drill A New Standard in Arthroscopic Tunnel Drilling
FlipCutter® III Drill A New Standard in Arthroscopic Tunnel Drilling
English | 03/01/2022 | LB1-000039-en-US C
FlipCutter® III Drill
FlipCutter® III Drill
English | 08/17/2021 | DOC1-000530-en-US B
GraftPro® Graft Preparation System
GraftPro® Graft Preparation System
English | 08/20/2020 | LB1-00043-EN D
RetroConstruction™ System - The Most Advanced Techniques in ACL/PCL Reconstruction
RetroConstruction™ System - The Most Advanced Techniques in ACL/PCL Reconstruction
English | 11/09/2018 | LB1-0188-EN L
FlipCutter® - A Pin that Changes Arthroscopic Tunnel Drilling Forever
FlipCutter® - A Pin that Changes Arthroscopic Tunnel Drilling Forever
English | 11/04/2016 | LB1-0169-EN G
OSferion - Porous Trapezoid ß-TCP Synthetic Grafting of BTB Autograft Harvest Sites
OSferion - Porous Trapezoid ß-TCP Synthetic Grafting of BTB Autograft Harvest Sites
English | 03/18/2010 | LB1-0112-EN D

Case Presentation Videos (1)

PCLR: There Is a Better Way
PCLR: There Is a Better Way
George F. Rick Hatch III, MD
10:17 | English | 12/07/2021 | VID1-002891-en-US A

Catalogs (1)

Knee Next Generation in Repair and Reconstruction | 2022
Knee Next Generation in Repair and Reconstruction | 2022
English | 05/18/2022 | LB1-0115-en-US AB

Patient Education Animations (1)

Inlay PCL Reconstruction with PCL TightRope® Technique
Inlay PCL Reconstruction with PCL TightRope® Technique
02:04 | English | 08/07/2017 | PAN1-00225-EN D

Presentation Videos (5)

Advancements in All-Inside ACL/PCL Reconstruction
Advancements in All-Inside ACL/PCL Reconstruction
Elizabeth G. Matzkin, MD
12:20 | English | 01/15/2020 | VID1-000739-en-US A
GraftLink® Technique for Multiligament Knee Reconstruction
GraftLink® Technique for Multiligament Knee Reconstruction
Bruce A. Levy, MD
09:48 | English | 04/04/2017 | VPT1-00829-EN A
ACL/PCL Graft Options and Preparation
ACL/PCL Graft Options and Preparation
Professor Adrian Wilson, BSC, FRCS, MBBS
05:26 | English | 09/05/2014 | VPT1-00262-EN A
PCL All-Inside Reconstruction
PCL All-Inside Reconstruction
Joel Boyd, MD
14:41 | English | 02/27/2014 | VPT1-00203-EN A
Arthroscopic Inlay PCL Surgical Technique
Arthroscopic Inlay PCL Surgical Technique
Jim Bradley, MD
11:15 | English | 05/06/2013 | VPT1-0033-EN A

Product Demonstrations (1)

Graft Preparation Using the GraftLink® Technique With the ACL TightRope® II Implant and SutureTape
Graft Preparation Using the GraftLink® Technique With the ACL TightRope® II Implant and SutureTape
J. Lee Pace, MD
10:19 | English | 12/12/2022 | VID1-003667-en-US A

Scientific Updates (1)

RetroConstruction™ Technique Scientific Update
RetroConstruction™ Technique Scientific Update
English | 07/18/2016 | LA1-00042-EN A

Tray Lists (1)

GraftPro® Graft Preparation (AR-2950DS)
GraftPro® Graft Preparation (AR-2950DS)
English | 10/26/2021 | DOC1-000132-en-US C

White Papers (9)

Operative Performance of All-Inside GraftLink® ACL Reconstruction Using TightRope® II Implants
Operative Performance of All-Inside GraftLink® ACL Reconstruction Using TightRope® II Implants
English | 02/11/2022 | LA2-000147-en-US A
BioComposite Interference Screws - A Stronger Turn in ACL/PCL Reconstruction
BioComposite Interference Screws - A Stronger Turn in ACL/PCL Reconstruction
English | 06/04/2018 | LA1-0150-EN E
Affect of Non-Symmetric Shortening of ACL TightRope® Implant on Construct Strength
Affect of Non-Symmetric Shortening of ACL TightRope® Implant on Construct Strength
English | 10/07/2014 | LA1-0177-EN A
BTB TightRope® Compared to Traditional Interference Screw Fixation
BTB TightRope® Compared to Traditional Interference Screw Fixation
English | 04/18/2012 | LA0156 A
GraftLink® with ACL TightRope®: Biomechanical Testing
GraftLink® with ACL TightRope®: Biomechanical Testing
English | 05/09/2011 | LA0157 A
Fatigue Testing of the ACL TightRope®
Fatigue Testing of the ACL TightRope®
English | 08/29/2010 | LA0180 A
Arthrex ACL TightRope® and Biomet ZipLoop with ToggleLoc: Mechanical Testing
Arthrex ACL TightRope® and Biomet ZipLoop with ToggleLoc: Mechanical Testing
English | 07/22/2010 | LA0179 A
Arthrex 7 mm x 23 mm BioComposite™ Interference Screw vs. DePuy Mitek 7 mm x 23 mm Milagro Screw
Arthrex 7 mm x 23 mm BioComposite™ Interference Screw vs. DePuy Mitek 7 mm x 23 mm Milagro Screw
English | 08/10/2009 | LA0153 A
Aperture vs. Distal Fixation of Soft Tissue PCL Grafts
Aperture vs. Distal Fixation of Soft Tissue PCL Grafts
White Papers | English | 01/24/2008 | LA0104 A

Low Profile Reamer, 5 mm, sterile, SU
AR-1405LP

Low Profile Reamer, 5 mm, sterile, SU

Low Profile Reamer, 6 mm, sterile, SU
AR-1406LP

Low Profile Reamer, 6 mm, sterile, SU

Low Profile Reamer, 7 mm, sterile, SU
AR-1407LP

Low Profile Reamer, 7 mm, sterile, SU

Low-Profile Reamer, 8 mm, sterile, SU
AR-1408LP

Low-Profile Reamer, 8 mm, sterile, SU

Low Profile Reamer, 9 mm, sterile, SU
AR-1409LP

Low Profile Reamer, 9 mm, sterile, SU

Low Profile Reamer, 10 mm, sterile, SU
AR-1410LP

Low Profile Reamer, 10 mm, sterile, SU

Low Profile Reamer, 11 mm, sterile, SU
AR-1411LP

Low Profile Reamer, 11 mm, sterile, SU

TightRope II RT, with Additional Flipping Suture
AR-1588RT-2J

TightRope II RT, with Additional Flipping Suture

TightRope II RT, with FiberTape for <em>Internal</em>Brace Technique
AR-1588RT-IB

TightRope II RT, with FiberTape for InternalBrace Technique

FiberTag TightRope II Implant
AR-1588RTT2

FiberTag TightRope II Implant

FiberTag TightRope II implant with FiberTape Suture for the <i>Internal</i>Brace Technique
AR-1588RTT2-IB

FiberTag TightRope II implant with FiberTape Suture for the InternalBrace Technique

FiberTag TightRope II ABS Implant
AR-1588TNT2

FiberTag TightRope II ABS Implant

FiberTag TightRope II with <em>Internal</em>Brace, with FlipCutter III Drill, and FiberSnare Suture
AR-1288RTT2-FC3

FiberTag TightRope II with InternalBrace, with FlipCutter III Drill, and FiberSnare Suture

FiberTag TightRope II with <em>Internal</em>Brace, with ACL TightRope Drill Pin and FiberLink Suture
AR-1288RTT2-IBS

FiberTag TightRope II with InternalBrace, with ACL TightRope Drill Pin and FiberLink Suture

FiberTag TightRope II with <em>Internal</em>Brace, with Flexible ACL TightRope Drill Pin and FiberLink Suture
AR-1288RTT2-IBSF

FiberTag TightRope II with InternalBrace, with Flexible ACL TightRope Drill Pin and FiberLink Suture

TightRope ABS Button, Round, Concave 11 mm, for <i>Internal</i>Brace Technique
AR-1588TB-3IB

TightRope ABS Button, Round, Concave 11 mm, for InternalBrace Technique

TightRope ABS Button, Round, Concave 14 mm
AR-1588TB-4

TightRope ABS Button, Round, Concave 14 mm

TightRope ABS Button, Round, Concave 17 mm
AR-1588TB-17

TightRope ABS Button, Round, Concave 17 mm

TightRope ABS Button, Round, Concave 20 mm
AR-1588TB-5

TightRope ABS Button, Round, Concave 20 mm

FastThread BioComposite Interference Screw, 6 x 20 mm
AR-4020C-06

FastThread BioComposite Interference Screw, 6 x 20 mm

FastThread BioComposite Interference Screw, 7 x 20 mm
AR-4020C-07

FastThread BioComposite Interference Screw, 7 x 20 mm

FastThread BioComposite Interference Screw, 8 x 20 mm
AR-4020C-08

FastThread BioComposite Interference Screw, 8 x 20 mm

FastThread BioComposite Interference Screw, 9 x 20 mm
AR-4020C-09

FastThread BioComposite Interference Screw, 9 x 20 mm

FastThread BioComposite Interference Screw, 10 x 20 mm
AR-4020C-10

FastThread BioComposite Interference Screw, 10 x 20 mm

FastThread BioComposite Interference Screw, 7 x 30 mm
AR-4030C-07

FastThread BioComposite Interference Screw, 7 x 30 mm

FastThread BioComposite Interference Screw, 8 x 30 mm
AR-4030C-08

FastThread BioComposite Interference Screw, 8 x 30 mm

FastThread BioComposite Interference Screw, 9 x 30 mm
AR-4030C-09

FastThread BioComposite Interference Screw, 9 x 30 mm

FastThread BioComposite Interference Screw, 10 x 30 mm
AR-4030C-10

FastThread BioComposite Interference Screw, 10 x 30 mm

FastThread BioComposite Interference Screw, 11 x 30 mm
AR-4030C-11

FastThread BioComposite Interference Screw, 11 x 30 mm

FastThread BioComposite Interference Screw, 12 x 30 mm
AR-4030C-12

FastThread BioComposite Interference Screw, 12 x 30 mm

SlapDriver, Ratcheting Quick Connect
AR-1999SD

SlapDriver, Ratcheting Quick Connect

Fixed Handle SlapDriver for 20 mm and 30 mm Screws
AR-1996SD

Fixed Handle SlapDriver for 20 mm and 30 mm Screws

Fixed Handle SlapDriver for 20 mm Screws
AR-4020SD

Fixed Handle SlapDriver for 20 mm Screws

Fixed Handle SlapDriver for 6 mm x 20 mm Screws
AR-4019SD

Fixed Handle SlapDriver for 6 mm x 20 mm Screws

#2 FiberSnare suture, 26" length with 2” closed loop (Black/White)
AR-7209SNT

#2 FiberSnare suture, 26" length with 2” closed loop (Black/White)

#2 FiberSnare suture, 26" length with 2” closed loop (White/Blue)
AR-7209SNL

#2 FiberSnare suture, 26" length with 2” closed loop (White/Blue)

#2 FiberLoop Suture, 20" (Blue) w/Straight Needle
AR-7234

#2 FiberLoop Suture, 20" (Blue) w/Straight Needle

#2 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle
AR-7234T

#2 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle

#2 FiberLoop Suture (Blue), 20 in Working Length, w/ Tapered Needle, 26.5 mm ½ circle, 12/Box
AR-7234C

#2 FiberLoop Suture (Blue), 20 in Working Length, w/ Tapered Needle, 26.5 mm ½ circle, 12/Box

0 FiberLoop Suture (blue) 20 in working length w/Straight Needle, 12/box
AR-7253

0 FiberLoop Suture (blue) 20 in working length w/Straight Needle, 12/box

#0 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle
AR-7253T

#0 TigerLoop, Braided Polyblend Suture, White/Green Looped with 20" Working Length Straight Needle

Implant System, Secondary Fixation with BioComposite SwiveLock Anchor 4.75 x 19.1 mm
AR-1593-BC

Implant System, Secondary Fixation with BioComposite SwiveLock Anchor 4.75 x 19.1 mm

Implant System, Secondary Fixation with PEEK SwiveLock Anchor 4.75 x 19.1 mm
AR-1593-P

Implant System, Secondary Fixation with PEEK SwiveLock Anchor 4.75 x 19.1 mm

Parallel Graft Knife Handle
AR-2285H

Parallel Graft Knife Handle

Parallel Graft Knife Blade, 8 mm, sterile, qty. 5, SU
AR-2285-08

Parallel Graft Knife Blade, 8 mm, sterile, qty. 5, SU

Parallel Graft Knife Blade, 9 mm, sterile, qty. 5, SU
AR-2285-09

Parallel Graft Knife Blade, 9 mm, sterile, qty. 5, SU

Parallel Graft Knife Blade, 10 mm, sterile, qty. 5, SU
AR-2285-10

Parallel Graft Knife Blade, 10 mm, sterile, qty. 5, SU

Parallel Graft Knife Blade, 11 mm, sterile, qty. 5, SU
AR-2285-11

Parallel Graft Knife Blade, 11 mm, sterile, qty. 5, SU

GraftPro, Graft Preparation Set
AR-2950DS

GraftPro, Graft Preparation Set

Graft Harvesting Kit w/Hall Style Sagittal Saw Blade w/7 mm depth stop and 2 ea. threaded fixation pins, short &amp; long
AR-1821S

Graft Harvesting Kit w/Hall Style Sagittal Saw Blade w/7 mm depth stop and 2 ea. threaded fixation pins, short & long

Graft Harvesting Kit with Stryker (Command 2 System) Style Oscillating/Sagittal Saw Blade w/7 mm Depth Stop and 2 ea. Threaded Fixation Pins, Short and Long
AR-1828S

Graft Harvesting Kit with Stryker (Command 2 System) Style Oscillating/Sagittal Saw Blade w/7 mm Depth Stop and 2 ea. Threaded Fixation Pins, Short and Long

Atraumatic Hamstring Harvester
AR-10300

Atraumatic Hamstring Harvester

Semitendinosus Stripper, 5 mm
AR-1278

Semitendinosus Stripper, 5 mm

Semitendinosus Stripper, 7 mm
AR-1278L

Semitendinosus Stripper, 7 mm

Pigtail Hamstring Tendon Stripper, open end, 5 mm
AR-1278P

Pigtail Hamstring Tendon Stripper, open end, 5 mm

PCL ToolBox Set
AR-1269S

PCL ToolBox Set

Implant System, FiberTag TightRope with attached needle, FlipCutter III and FiberStick
AR-1288RTT-FC3

Implant System, FiberTag TightRope with attached needle, FlipCutter III and FiberStick

FlipCutter III Drill
AR-1204FF

FlipCutter III Drill

RetroConstruction Drill Guide System Instrument Set
AR-1510S

RetroConstruction Drill Guide System Instrument Set

Ratcheting Drill Sleeve for FlipCutter, 10 mm Step, 3.5 mm
AR-1204FDS-10

Ratcheting Drill Sleeve for FlipCutter, 10 mm Step, 3.5 mm

Anatomic Contour PCL Guide, Left
AR-1510PTL

Anatomic Contour PCL Guide, Left

Anatomic Contour PCL Guide, Right
AR-1510PTR

Anatomic Contour PCL Guide, Right

Knee Obturator for Posterior Portal
AR-1266

Knee Obturator for Posterior Portal

Curving Suture Passer, Single Use
AR-1268D

Curving Suture Passer, Single Use

Non-Ratcheting Screwdriver Handle
AR-1999NR

Non-Ratcheting Screwdriver Handle

GraftPro, Graft Clamp for Cleaning Board
AR-2950CBC

GraftPro, Graft Clamp for Cleaning Board

GraftPro, Cutting Board, Replacement
AR-2950D-CB

GraftPro, Cutting Board, Replacement

GraftPro, Recess Bumper, Replacement
AR-2950D-RB

GraftPro, Recess Bumper, Replacement

Driver Shaft, Long, BioComposite Interference Screw, Quick Connect
AR-1996CDL-1

Driver Shaft, Long, BioComposite Interference Screw, Quick Connect

Nitinol Guide Pin, 1.1 mm, with 25 and 30 mm Depth Markings
AR-1249-1S

Nitinol Guide Pin, 1.1 mm, with 25 and 30 mm Depth Markings

Nitinol Guide Pin, 1.5 mm, with 25 and 30 mm Depth Markings
AR-1253-1S

Nitinol Guide Pin, 1.5 mm, with 25 and 30 mm Depth Markings

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