• Document: Aesculap POSITION PCL. System for reconstructing the posterior cruciate ligament Surgical Technique. Aesculap Orthopaedics
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Aesculap® POSITION PCL System for reconstructing the posterior cruciate ligament Surgical Technique Aesculap Orthopaedics Preface Besides anterior cruciate ligament reconstruction, which has for years been scientifically and clinically an important field of arthroscopic surgery, injury of the posterior cruciate ligament has in recent years come increasingly into the focus of arthroscopic surgeons. The former view of this injury as a “forgotten injury” is being progressively replaced by an increased aware- ness on all sides. This is owed in particular to diagnostic improvements, Bernhard Schewe, MD primarily in the field of magnetic resonance imaging. The total number of simple and combined injuries is far higher than was assumed hitherto, and the num- ber of injuries is expected to rise even further due to an increase in sporting activities and the increase in speed in many sports. Moreover, the patients’ expec- tations with regard to activeness and quality of life, and hence their expectations with regard to treat- ment results, have risen significantly. Nevertheless, the number of injuries that are over- looked and hence treated too late or inadequately is still high. Delayed therapy can however lead to seque- lae with significantly impaired joint function and in some cases even lifelong functional impairment. The diagnostics and in particular Cross-Out the therapy of these injuries is being increasingly highlighted in medical literature, and by now a variety of therapy concepts have emerged. Some centres are already treating this type of injury on a routine basis. 2 Table of contents POSITION PCL – The System Posterior cruciate ligament reconstruction system 4 Anatomy and Diagnosis 5 Surgical Technique 1 | Positioning the patient 6 2 | Graft selection 7 3 | Access 9 4 | Graft harvesting 10 5 | Graft preparation 12 6 | Preparation of the femoral tunnel 14 7 | Preparation of the tibial tunnel 19 8 | Tibial graft insertion 22 9 | Femoral graft insertion 24 10 | Femoral graft fixation 25 11 | Tibia graft fixation 26 12 | Aftertreatment 28 Implants 29 Instruments Reconstruction of the posterior cruciate ligament 30 Postero-lateral ligament stabilisation 32 Basic instruments for cruciate ligament reconstruction 33 3 POSITION PCL – The System Posterior cruciate ligament reconstruction system The newly developed POSITION PCL instruments offer a well thought-out solution for reconstructing the diffi- cult-to-access posterior cruciate ligament, while addi- tionally enabling posterolateral ligament stabilisation. FO964R SAFE – Very good soft tissue protection through a variety of drilling gauges with specially developed protection against overdrilling. SIMPLE – Simple and convenient insertion of the PCL graft with the help of the specially designed tibial drilling gauge FO964R in connection with FO011R the corresponding insertion wire. FO997R FAST – Timesaving by convenient insertion of the insertion wire through the tibial tunnel, so that the PCL graft can then be drawn from ventral to dorsal over th

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