Arthroscopic Double‐Bundle Posterior Cruciate Ligament Reconstruction Using Superficial Quadriceps and Hamstring Autografts With All‐Suspensory Fixation

Double‐bundle posterior cruciate ligament reconstruction provides superior posterior stability and knee kinematics compared with single‐bundle techniques but remains technically challenging regarding graft management and fixation. Several strategies can be implemented to obtain improved outcomes while mitigating complications, including techniques for optimizing arthroscopic visualization, graft preparation, fixation methods, tensioning, and tunnel positioning. In this technical note, we present a double‐bundle posterior cruciate ligament reconstruction technique using a 4‐stranded superficial quadriceps tendon autograft for the anterolateral bundle and a 4‐stranded hamstring tendon autograft for the posteromedial bundle with all‐suspensory fixation and internal brace augmentation. The objective of this technique is to provide robust biomechanical stability to accurately restore native knee kinematics.