ArticleArthroscopy techniques2025
Double-Bundle Posterior Cruciate Ligament Reconstruction Using the Rectus Femoris Graft-Superficial Layer of the Quadriceps: Surgical Technique.
Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Beyond the quadriceps tendon: The rectus femoris as a distinct autograft for knee ligament reconstruction-A narrative review.Journal of experimental orthopaedics · 2026Review
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We describe a practical and reproducible technique for anatomic posterior cruciate ligament (PCL) reconstruction using a rectus femoris tendon graft in a double-bundle femoral configuration. The graft is harvested from the superficial layer of the quadriceps tendon and prepared in a Y-shaped construct, creating 2 symmetrical femoral bundles. Outside-in femoral drilling allows precise replication of the anterolateral and posteromedial bundle anatomy, whereas a single tibial tunnel is created from the anterolateral cortex to the PCL footprint under fluoroscopic and arthroscopic guidance. Notably, the graft can be harvested using a conventional tendon stripper typically used for hamstring grafts, avoiding the need for specialized instruments. Fixation is performed with interference screws, and the technique preserves hamstring integrity with minimal donor-site morbidity. This method provides a cost-effective and versatile option for double-bundle PCL reconstruction, with applicability even in resource-limited settings.
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Registered trials
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