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Dr. Garcia demonstrates his updated PLC reconstruction techniques with an ACL/PCL/PLC reconstruction
Dr. Garcia specializes in complex knee, shoulder and elbow sports surgeries. He has prepared a number of surgical videos below to help patients better understand their procedures. He is frequently updating his surgical video database so check back soon for further updates.
In this surgical video, Dr. Grant H. Garcia demonstrates an updated posterolateral corner (PLC) reconstruction technique performed alongside complex ACL and PCL reconstructions.
The procedure breaks down into a few key surgical phases:
- Initial Visual & Meniscal Repair: The video begins with an arthroscopic evaluation showing an exceptionally large gap in the posterolateral aspect of the knee. Dr. Garcia first addresses and repairs a torn section of the meniscus using Arthrex FiberStitches.
- Cruciate Ligament Fixation: The ACL and PCL are reconstructed using TightRope fixation paired with an internal brace.
- Posterolateral Corner (PLC) Reconstruction: For the PLC, a SwivelLock anchor is used for the fibular head fixation to secure the lateral collateral ligament (LCL).
- Popliteofibular Ligament Fixation: To avoid the technical challenges of a traditional "dunking technique," a knotless knee FiberTack is utilized to secure the popliteofibular ligament. With the knee held at roughly 45 to 60 degrees under a reduction force, the FiberTack is cinched down sequentially.
The remaining graft can either be tied directly into the iliotibial (IT) band for added stability or cut cleanly at the anchor. The final arthroscopic view shows excellent overall stability with the initial large gapping completely resolved.
