Pearls and pitfalls of single-bundle transtibial posterior cruciate ligament reconstruction

Posterior cruciate ligament (PCL) injuries are rare, but they often require reconstruction, especially in the setting of combined ligamentous knee injury. Single-bundle transtibial PCL reconstruction is 1 technique for restoring this important ligament. However, this procedure is technically demanding, and complications can occur if poor techniques are used. This article analyzes the potential pitfalls of this procedure and presents the pearls that may ease the technical demands and reduce the risk of avoidable complications.