Review ArticlesArthroscopic Posterior Cruciate Ligament Primary RepairVermeijden, Harmen D. BSc*; van der List, Jelle P. MD*,†,‡; DiFelice, Gregory S. MD*Author Information *Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, NewYork-Presbyterian, Weill Medical College of Cornell University, New York, NY †Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam ‡Department of Orthopaedic Surgery, Spaarne Gasthuis Hospital, Hoofddorp, The Netherlands Disclosure: G.S.D. and J.P.v.d.L. declare they are paid consultants for Arthrex (Naples, FL), but this has not conflicted this study. H.D.V. declares no conflict of interest. Reprints: Harmen D. Vermeijden, BSc, Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021. Online date: December 31, 2019 Sports Medicine and Arthroscopy Review: March 2020 - Volume 28 - Issue 1 - p 23–29 doi: 10.1097/JSA.0000000000000250 Buy Metrics Abstract Injury to the posterior cruciate ligament (PCL) is most commonly seen in the setting of a multiligamentous injured knee, and isolated PCL tears are rare. PCL injuries are generally treated either conservatively or by PCL reconstruction using a graft. If a proximal or distal tear is present, the injured ligament can also be treated by primary repair, in which the ligament is reattached to the tibial or femoral insertion. This has the (theoretical) advantages of preserving the native tissue, maintaining proprioception, and can be performed in a less invasive way when compared with reconstruction surgery. In this review, the appropriate patient selection, surgical indications, surgical techniques, and outcomes of primary repair of proximal and distal PCL tears will be discussed. Primary repair may be an alternative treatment for PCL reconstruction if appropriate patient selection is applied. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.