All‐Inside Posterior Cruciate Ligament Reconstruction Using Achilles Allograft and Suture Tape Augmentation
- 1Department of Orthopaedic and Traumatology, Faculty of Medicine Universiti Kebangsaan Malaysia (UKM) Kuala Lumpur Malaysia.
Abstract
Posterior cruciate ligament (PCL) reconstruction is challenged by graft elongation and delayed biological integration, often necessitating slow rehabilitation and carrying a risk of arthrofibrosis. This technical report describes an all-inside technique augmented with the modified internal bracing to address these limitations. The technique involves integrating a FiberTape within a quadrupled Achilles tendon allograft, creating a load-sharing composite. An all-inside, retrograde socket method was used for anatomic PCL reconstruction in the knee, with suspensory fixation on both femur and tibia. The graft-tape construct was simultaneously tensioned. The technique provides immediate biomechanical stability by mitigating graft micromotion, elongation, and tunnel abrasion. By closely replicating native PCL stiffness, this construct facilitates an accelerated, protective rehabilitation protocol focused on early motion and quadriceps activation, thereby aiming to reduce failure rates and postoperative stiffness. This method represents a synergistic evolution in PCL reconstruction, combining synthetic reinforcement with biological healing.
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BibTeX
@article{yusoff2026allinside,
title = {{All‐Inside Posterior Cruciate Ligament Reconstruction Using Achilles Allograft and Suture Tape Augmentation}},
author = {Badrul Akmal Hisham Md Yusoff and Alif Zhafri and Muhammad Karbela Reza Ramlan and Nik Kamarul Arif Nik Kamaruzman and Aliff Omar and Norlelawati Mohamad and Mohamad Azwan Aziz},
journal = {Arthroscopy techniques},
year = {2026},
month = nov,
doi = {10.1002/atn2.70351},
url = {https://europepmc.org/article/PMC/PMC13726527},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - All‐Inside Posterior Cruciate Ligament Reconstruction Using Achilles Allograft and Suture Tape Augmentation
AU - Badrul Akmal Hisham Md Yusoff
AU - Alif Zhafri
AU - Muhammad Karbela Reza Ramlan
AU - Nik Kamarul Arif Nik Kamaruzman
AU - Aliff Omar
AU - Norlelawati Mohamad
AU - Mohamad Azwan Aziz
PY - 2026
DA - 2026/11/02
JO - Arthroscopy techniques
DO - 10.1002/atn2.70351
UR - https://europepmc.org/article/PMC/PMC13726527
AB - Posterior cruciate ligament (PCL) reconstruction is challenged by graft elongation and delayed biological integration, often necessitating slow rehabilitation and carrying a risk of arthrofibrosis. This technical report describes an all-inside technique augmented with the modified internal bracing to address these limitations. The technique involves integrating a FiberTape within a quadrupled Achilles tendon allograft, creating a load-sharing composite. An all-inside, retrograde socket method was used for anatomic PCL reconstruction in the knee, with suspensory fixation on both femur and tibia. The graft-tape construct was simultaneously tensioned. The technique provides immediate biomechanical stability by mitigating graft micromotion, elongation, and tunnel abrasion. By closely replicating native PCL stiffness, this construct facilitates an accelerated, protective rehabilitation protocol focused on early motion and quadriceps activation, thereby aiming to reduce failure rates and postoperative stiffness. This method represents a synergistic evolution in PCL reconstruction, combining synthetic reinforcement with biological healing.
SN - 2212-6287
ER -