{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T02:17:33Z","timestamp":1774405053807,"version":"3.50.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007210","name":"RWTH Aachen University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007210","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Surgical reconstruction of the posterior cruciate ligament (PCL) can be technically challenging given the proximity of the popliteal artery to the PCL tibial insertion. This \"no-safe zone\" makes some knee surgeons less confident and willing to perform this surgical procedure.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Surgical technique<\/jats:title>\n                <jats:p>We present a PCL tibial inlay reconstruction technique using a set of instruments involving three tools (a slot cut, a bone plug positioner, and an impactor).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This set of instruments allows a more reproducible posteromedial approach and to produce a PCL tibial slot in a posterior cruciate ligament inlay reconstruction with the patient supine in bicruciate ligament injury reconstruction.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13018-022-03495-6","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T06:05:01Z","timestamp":1672985101000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Posterior cruciate ligament reconstruction using PCL inlay technique with the patient supine in bicruciate ligament injury reconstruction"],"prefix":"10.1186","volume":"18","author":[{"given":"Sergio Rocha","family":"Piedade","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerson Muraro","family":"Laurito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Migliorini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"issue":"5","key":"3495_CR1","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1055\/s-0039-3402792","volume":"33","author":"ME Kew","year":"2020","unstructured":"Kew ME, Miller MD. Posterior cruciate ligament reconstruction in the multiple ligament injured knee. J Knee Surg. 2020;33(5):421\u201330.","journal-title":"J Knee Surg"},{"key":"3495_CR2","first-page":"1047","volume-title":"Principes, objectifs et tunnelisation","author":"R Badet","year":"2015","unstructured":"Badet R, Demey G, Piedade SR. Reconstruction du ligament croise post\u00e9rieur. In: Arthroscopie L, editor. Principes, objectifs et tunnelisation. 3rd ed. Paris: Elsevier; 2015. p. 1047\u201356.","edition":"3"},{"key":"3495_CR3","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1007\/978-2-287-99353-4_34","volume-title":"The knee joint. Surgical: techniques and strategies","author":"R Badet","year":"2012","unstructured":"Badet R, Verdonk P, Piedade SR. Technique in PCL reconstruction: mini posterior approach. In: Bonin M, Amendola A, Bellemans J, MacDonald S, Menetrey J, editors. The knee joint. Surgical: techniques and strategies. Paris: Springer; 2012. p. 411\u20135."},{"issue":"1","key":"3495_CR4","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1097\/JSA.0000000000000249","volume":"28","author":"RK Martin","year":"2020","unstructured":"Martin RK, Melugin HP, Freychet B, Krych AJ, Stuart MJ, Levy BA. Posterior cruciate ligament all-inside reconstruction. Sports Med Arthrosc Rev. 2020;28(1):18\u201322.","journal-title":"Sports Med Arthrosc Rev"},{"issue":"2","key":"3495_CR5","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1590\/S1413-78522006000200007","volume":"14","author":"SR Piedade","year":"2006","unstructured":"Piedade SR, Mischan MM, Knee PCL. reconstruction: a tibial bed fixation (\u201cinlay\u201d) technique objective and subjective evaluation of a 30-cases series. Acta Ortop Bras. 2006;14(2):92\u20136.","journal-title":"Acta Ortop Bras"},{"issue":"3","key":"3495_CR6","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1055\/s-0037-1603336","volume":"31","author":"R Salim","year":"2018","unstructured":"Salim R, Nascimento FMD, Ferreira AM, Oliveira LFL, Fogagnolo F, Kfuri M. Tibial onlay posterior cruciate ligament reconstruction: surgical technique and results. J Knee Surg. 2018;31(3):284\u201390.","journal-title":"J Knee Surg"},{"issue":"5","key":"3495_CR7","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1055\/s-0040-1722313","volume":"34","author":"E Therrien","year":"2021","unstructured":"Therrien E, Pareek A, Song BM, Wilbur RR, Stuart MJ, Levy BA. All-inside PCL reconstruction. J Knee Surg. 2021;34(5):472\u20137.","journal-title":"J Knee Surg"},{"issue":"1","key":"3495_CR8","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1093\/bmb\/ldac010","volume":"142","author":"F Migliorini","year":"2022","unstructured":"Migliorini F, Pintore A, Vecchio G, Oliva F, Hildebrand F, Maffulli N. Hamstring, bone-patellar tendon-bone, quadriceps and peroneus longus tendon autografts for primary isolated posterior cruciate ligament reconstruction: a systematic review. Br Med Bull. 2022;142(1):23\u201333.","journal-title":"Br Med Bull"},{"issue":"1","key":"3495_CR9","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1093\/bmb\/ldac011","volume":"143","author":"F Migliorini","year":"2022","unstructured":"Migliorini F, Pintore A, Vecchio G, Oliva F, Hildebrand F, Maffulli N. Ligament advanced reinforcement system (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis. Br Med Bull. 2022;143(1):57\u201368.","journal-title":"Br Med Bull"},{"issue":"11","key":"3495_CR10","doi-asserted-by":"publisher","first-page":"2789","DOI":"10.1177\/0363546517725070","volume":"46","author":"DY Lee","year":"2018","unstructured":"Lee DY, Kim DH, Kim HJ, Ahn HS, Lee TH, Hwang SC. Posterior cruciate ligament reconstruction with transtibial or tibial inlay techniques: a meta-analysis of biomechanical and clinical outcomes. Am J Sports Med. 2018;46(11):2789\u201397.","journal-title":"Am J Sports Med"},{"key":"3495_CR11","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.knee.2021.03.002","volume":"30","author":"J Zhang","year":"2021","unstructured":"Zhang J, Zhang H, Zhang Z, Zheng T, Li Y. No difference in subjective and objective clinical outcomes between arthroscopic transtibial and open inlay posterior cruciate ligament reconstruction techniques in the treatment of multi-ligamentous knee injuries. Knee. 2021;30:18\u201325.","journal-title":"Knee"},{"issue":"7","key":"3495_CR12","doi-asserted-by":"publisher","first-page":"976","DOI":"10.1177\/0363546504273046","volume":"33","author":"JA Bergfeld","year":"2005","unstructured":"Bergfeld JA, Graham SM, Parker RD, Valdevit ADC, Kambic HE. A biomechanical comparison of posterior cruciate ligament reconstructions using single- and double bundle tibial inlay techniques. Am J Sports Med. 2005;33(7):976\u201381.","journal-title":"Am J Sports Med"},{"key":"3495_CR13","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1007\/978-2-287-99353-4_34","volume-title":"The knee. Joint surgical: techniques and strategies","author":"R Badet","year":"2012","unstructured":"Badet R, Verdonk P, Piedade SR. Technique in PCL reconstruction: mini posterior approach. In: Bonin M, Amendola A, Bellemans J, MacDonald S, Menetrey J, editors. The knee. Joint surgical: techniques and strategies. Paris: Springer; 2012. p. 411\u20135."},{"key":"3495_CR14","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1097\/00003086-199005000-00031","volume":"254","author":"RT Burks","year":"1990","unstructured":"Burks RT, Schaffer JJ. A simplified approach to the tibial attachment of the posterior cruciate ligament. Clin Orthop Relat Res. 1990;254:216\u20139.","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"3495_CR15","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1590\/1413-785220212901234943","volume":"29","author":"MM Inada","year":"2021","unstructured":"Inada MM, Piedade SR. Clinical outcomes after two-stage bicruciate knee ligament reconstruction. Acta Ortop Bras. 2021;29(1):7\u201311.","journal-title":"Acta Ortop Bras"},{"issue":"1","key":"3495_CR16","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1590\/S1413-78522014000100003","volume":"22","author":"I Gigliotakaes","year":"2014","unstructured":"Gigliotakaes I, Inada MM, de Miranda JB, Cunha SA, Piedade SR. Isokinetic evaluation after two-stage bicruciate reconstruction. Acta Ortop Bras. 2014;22(1):21\u20134.","journal-title":"Acta Ortop Bras"},{"issue":"3","key":"3495_CR17","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1053\/j.otsm.2009.06.005","volume":"17","author":"JP Stannard","year":"2009","unstructured":"Stannard JP, McKean RM. Anatomic PCL reconstruction: the double bundle Inlay technique. Oper Tech Sports Med. 2009;17(3):148\u201355.","journal-title":"Oper Tech Sports Med"},{"key":"3495_CR18","doi-asserted-by":"publisher","first-page":"2680","DOI":"10.1007\/s11999-014-3557-2","volume":"472","author":"D Richter","year":"2014","unstructured":"Richter D, Wascher DC, Schenck RC. A novel posteromedial approach for tibial Inlay PCL reconstruction in KDIIIM injuries. Avoiding prone patient positioning. Clin Orthop Relat Res. 2014;472:2680\u201326902009.","journal-title":"Clin Orthop Relat Res"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-022-03495-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-022-03495-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-022-03495-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T06:08:24Z","timestamp":1672985304000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-022-03495-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,6]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["3495"],"URL":"https:\/\/doi.org\/10.1186\/s13018-022-03495-6","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,6]]},"assertion":[{"value":"27 November 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 December 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 January 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The present study was conducted in accordance with principles expressed in the Declaration of Helsinki. Signed informed consent for the intraoperative photos was obtained from the patient.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"All patients signed the consent to publish their data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Prof. Nicola Maffulli is Editor in Chief of the Journal of Orthopaedic Surgery and Research.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"16"}}