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the arthoscopic inlay posterior cruciate ligament reconstruction with the PCL tight rope is a technique used to allow minimally invasive reconstruction of a torn posterior cruciate ligament if the posterior cruciate ligament is not repaired meniscal tears and arthritis may occur in the knee the surgeon Begins by flexing the knee and introducing a guide through a small incision on the front of the knee the guide is placed in the original area where the PCL attached on the lower leg bone a special pin called a flip cutter is drilled through the bone and into the Joint part of the drill guide is tapped into place with a mallet to facilitate drilling by pushing a button on the flip cutter the tip is rotated into a cutting position the flip cutter is then drilled back into the bone to create a socket where the graft will eventually be placed the flip cutter is removed and a suture is passed into the joint and out of the skin for later graft passing the tendon graft is prepared to match the
