Table 1.

Steps of Surgical Technique

1. Perform evaluation of the patient under anesthesia to confirm the posterior laxity.

2. Place the medial and lateral parapatellar portals and a superomedial outflow portal.

3. Probe the PCL and mobilize it with a grasper to ensure reparability and reduction before proceeding with the repair.

4. Place a 5.5-mm PassPort cannula into the lateral parapatellar portal to easily access the PCL and avoid placing sutures into the anterior fat pad.

5. Identify the femoral footprint, and clean off the PCL footprint from the remnant.

6. Perform some microfractures with a PowerPick to obtain bleeding from the subchondral bone, improving healing of the repaired ligament.

7. Insert a Scorpion cuff repair instrument through the cannula, and pass 2 No. 2 FiberWire sutures in a figure-of-8–type fashion in the anterolateral and posteromedial bundles of the PCL.

8. Drill 2 holes with the dedicated 2.9-mm PushLock instrumentation into the footprint.

9. Pass the 2 limbs of the same suture in each anchor, and insert them into the cannula.

10. Carefully tension the suture before final seating of the anchors, and perform an anterior drawer maneuver while inserting the anchors into the holes.

11. Cut the suture tails, and arthroscopically verify the stability of the repair.