Speaker: Consider hamstring graft as primary choice for PCL reconstruction
When choosing a graft for PCL reconstruction, a presenter noted surgeons should save the extensor apparatus, which is protecting the PCL, and consider using a hamstring tendon graft as the primary graft choice.
“We like to keep the patellar tendon where it is,” Sven Scheffler, MD, PhD, said in his presentation at the European Society of Sports Traumatology, Knee Surgery and Arthroscopy Core Curriculum Webinar: PCL reconstruction – What I need to know. “It also adds the possibility of getting a long graft, which you need, and a strong graft.”
He noted the quadriceps tendon or allograft might be helpful in multiligamentous injuries. Published literature has also shown adding a suture augmentation to a PCL reconstruction may provide significantly better restoration of anterior-posterior stability compared with an isolated, single-bundle PCL reconstruction, according to Scheffler.
“We tried to add to the regular graft [an] autograft ligament brace, hopefully, to see if the loss of stability might be reduced,” Scheffler said.
In peripheral reconstruction, Scheffler noted the peroneus longus split tendon is his personal graft choice because it does not affect or weaken function.
“You can also go to the hamstring graft on the contralateral side or, again, using allograft,” Scheffler said.
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Scheffler S. Preop diagnostics/graft choice. Presented at: European Society of Sports Traumatology, Knee Surgery and Arthroscopy Core Curriculum Webinar: PCL reconstruction – What I need to know; Feb. 24, 2021 (virtual meeting).
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