Posterolateral corner reconstruction.
نویسندگان
چکیده
One should suspect a compromise of the lateral structures when presented with a posterior cruciate ligament (PCL) injury, especially if grade III laxity is present. In our experience, if a combined injury to the PCL and posterolateral corner is diagnosed, a combined PCL and posterolateral reconstruction is needed to restore stability. This article describes a posterolateral reconstruction procedure. This procedure, when used in combination with an intra-articular PCL reconstruction, restores rotary and posterior knee stability. This procedure uses allograft tissue and interference screw fixation, although autograft tissue may be used.
منابع مشابه
Posterolateral Corner of the Knee:Current Concepts
Injuries to the posterolateral corner (PLC) comprise a significant portion of knee ligament injuries. A high index of suspicion is necessary when evaluating the injured knee to detect these sometimes occult injuries. Moreover, a thorough physical examination and a comprehensive review of radiographic studies are necessary to identify these injuries. In this sense, stress radiographs can ...
متن کاملProximal tibial opening wedge osteotomy as the initial treatment for chronic posterolateral corner deficiency in the varus knee: a prospective clinical study.
BACKGROUND Nonoperative treatment of posterolateral knee injuries tends to yield poor results. In patients with chronic posterolateral knee injuries, failure to correct genu varus alignment will often result in failure of the posterolateral knee repair or reconstruction. PURPOSE To prospectively assess the functional outcomes of patients with combined grade 3 posterolateral instability and ge...
متن کاملAnatomic Posterolateral Corner Reconstruction.
Posterolateral corner injuries represent a complex injury pattern, with damage to important coronal and rotatory stabilizers of the knee. These lesions commonly occur in association with other ligament injuries, making decisions regarding treatment challenging. Grade III posterolateral corner injuries result in significant instability and have poor outcomes when treated nonoperatively. As a res...
متن کاملThe posterolateral corner of the knee: repair versus reconstruction.
BACKGROUND Injuries to the posterolateral corner of the knee are disabling. Despite improved understanding of this group of tendons and ligaments, the best surgical treatment of an unstable corner is not clear. HYPOTHESIS Surgical repair of acute tears of the posterolateral corner has outcomes that are as good as those from reconstruction combined with an early motion rehabilitation protocol....
متن کاملReconstruction of chronic lesions in the posterolateral corner of the knee with autologous biceps femoralis and fascia lata grafts
OBJECTIVE The aim of this study was to evaluate the treatment of patients with chronic lesions in the posterolateral corner of the knee with reconstruction of the fibular collateral ligament, popliteus tendon and popliteofibular ligament and with autografts of the biceps femoris and fascia lata. METHOD A total of 129 patients with injuries of the posterolateral corner of the knee that lasted ...
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عنوان ژورنال:
- Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
دوره 19 7 شماره
صفحات -
تاریخ انتشار 2003