Current Reviews in Musculoskeletal Medicine

, Volume 11, Issue 2, pp 307–315 | Cite as

Arthroscopic Transtibial PCL Reconstruction: Surgical Technique and Clinical Outcomes

  • Jessica Shin
  • Travis G. Maak
PCL Update (K Jones and M Alaia, section editors)
Part of the following topical collections:
  1. Topical Collection on PCL Update


Purpose of review

Posterior cruciate ligament (PCL) injuries are relatively uncommon injuries. As such, there is a dearth of high-quality studies in the literature examining the operative management of PCL injuries and a lack of clear consensus on what the optimal method should be. The goal of this review was to conduct a comprehensive evaluation of recent literature and provide an evidence-based algorithm to optimize surgical decision-making and outcomes for PCL reconstruction.

Recent findings

Recent literature confirms that transtibial PCL reconstruction is a reliable and reproducible method to manage PCL injuries and results in satisfactory patient outcomes. However, there does not yet appear to be enough new, compelling information to conclusively determine an optimal method for surgical management.


Our preferred method of management for operative PCL injuries is a single bundle transtibial PCL reconstruction, which is supported by the current body of literature. Future high-quality research studies are necessary to further guide treatment algorithms.


Posterior cruciate ligament Transtibial Knee Arthroscopy Sports medicine 


Compliance with Ethical Standards

Conflict of Interest

Travis G. Maak reports personal fees from Arthrex, outside the submitted work. Jessica Shin reports no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors. All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Utah Department of Orthopaedic SurgerySalt Lake CityUSA

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