Cross-pin femoral fixation for hamstring posterior cruciate ligament reconstruction

We describe a new technique, cross-pin femoral fixation, for reconstruction of the posterior cruciate ligament using a quadruple hamstring tendon. The femoral tunnel is made in an inside-out manner via an anterolateral portal. Two cross pins are introduced from the medial aspect of the medial femoral condyle using the cross-pin guide, which is placed in the femoral tunnel. We can palpate and confirm that the insertion points are medial to the margin of the articular cartilage of the medial femoral condyle. We have performed this technique in 12 patients with encouraging results.