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foreign in medical literature PCL injuries have received far less exposure than ACL injuries because they occur less often and cause much less functional disability the most common method of posterior cruciate ligament reconstruction utilizes a trans-tibial tunnel in which the graft must pass around an acute angle at the posterior aspect of the tibia this acute angle is referred to as the killer curve it has been shown that when the graft is tensioned at its tibial end applied graft pre-tension decreases because of frictional loss at this corner in the middle to late 1990s Dr John a bergfeld director of the Cleveland Clinic Sports Health in the department of orthopedic surgery at the Cleveland Clinic Foundation in Ohio learned of a new technique while in Europe as an American Orthopedic Society for sports medicine traveling fellow although we have not critically evaluated the results of the tibial inlay reconstruction in patients in my experience of approximately 15 cases I believe thi
