Innovative knee surgery: arthroscopic double bundle U-DOS reverse Technique for PCL tears

Fernando Hernández-Aragón; Fernando González-González; Arturo Aguirre-Madrid; Nadia Karina Portillo-Ortiz; Raymundo Alfonso Muñoz-Cabello; Edmundo Berumen-Nafarrate

doi:10.1016/j.jisako.2023.08.002

Innovative knee surgery: arthroscopic double bundle U-DOS reverse Technique for PCL tears

J ISAKOS. 2023 Dec;8(6):509-512. doi: 10.1016/j.jisako.2023.08.002. Epub 2023 Aug 9.

Authors

Fernando Hernández-Aragón¹, Fernando González-González¹, Arturo Aguirre-Madrid², Nadia Karina Portillo-Ortiz³, Raymundo Alfonso Muñoz-Cabello³, Edmundo Berumen-Nafarrate⁴

Affiliations

¹ Department of Orthopedic Surgery, Christus Muguerza Del Parque Hospital, De La Llave St. No. 1419, Office 9, Col. Centro, Chihuahua, 31000 Chihuahua, Mexico; Medical Specialties, Vice-Rectory of Health Sciences, Universidad de Monterrey, Ignacio Morones Prieto Ave. 4500 W, San Pedro Garza Garcia, Nuevo Leon 66238, Mexico.
² Department of Orthopedic Surgery, Christus Muguerza Del Parque Hospital, De La Llave St. No. 1419, Office 9, Col. Centro, Chihuahua, 31000 Chihuahua, Mexico.
³ Faculty of Medicine and Biomedical Sciences, University Autonomous of Chihuahua, 31125 Chihuahua, Chihuahua, Mexico.
⁴ Department of Orthopedic Surgery, Christus Muguerza Del Parque Hospital, De La Llave St. No. 1419, Office 9, Col. Centro, Chihuahua, 31000 Chihuahua, Mexico; Medical Specialties, Vice-Rectory of Health Sciences, Universidad de Monterrey, Ignacio Morones Prieto Ave. 4500 W, San Pedro Garza Garcia, Nuevo Leon 66238, Mexico. Electronic address: edmundo.berumen@udem.edu.

PMID: 37562574
DOI: 10.1016/j.jisako.2023.08.002

Abstract

The Double Bundle U-DOS Reverse Technique for posterior cruciate ligament (PCL) tears is a novel arthroscopic technique that combines two well-known procedures: the mono-tunnel approach and the medial-portal approach, provides better posterior stability, improved functional outcomes, and a reduced risk of posterior tibial subluxation. This technique allows for the simultaneous treatment of anterolateral and posteromedial bundles and has been successfully performed on 16 patients, with follow-up showing sufficient support and resistance to posterior tibial subluxation or excessive displacement, resulting in a stable knee joint.

Keywords: Double-bundle; PCL; Reverse approach.

Publication types

Video-Audio Media

MeSH terms

Humans
Joint Instability* / surgery
Knee Injuries* / surgery
Knee Joint / surgery
Orthopedic Procedures* / methods
Posterior Cruciate Ligament* / injuries
Posterior Cruciate Ligament* / surgery
Soft Tissue Injuries* / surgery
Sprains and Strains* / surgery
Tibia / surgery