Managing tumors of the proximal fibula may require en bloc resection of the fibular head with the attachment site for the lateral collateral ligament. These resections of the proximal fibula cause unavoidable knee instability. We describe a reconstructive technique intended to minimize that instability. We retrospectively reviewed 24 patients who had proximal fibular resections from 1987 to 200...

Disruption of the major ligaments of the knee was seen in six young men, five parachutists and a house painter, after what we have termed abduction-traction injury. This unusual complaint results from the application of a sudden block to the ankle while falling head first, leading to traction and abduction of the knee. All the patients underwent operations, generally with unsatisfactory results...

PURPOSE To examine the anatomy of the lateral ankle after arthroscopic repair of the lateral ligament complex (anterior talofibular ligament [ATFL] and calcaneofibular ligament [CFL]) with regard to structures at risk. METHODS Ten lower extremity cadaveric specimens were obtained and were screened for gross anatomic defects and pre-existing ankle laxity. The ATFL and CFL were sectioned from t...

INTRODUCTION The Segond injury corresponds to a marginal avulsion fracture of lateral tibial plateau, resultant from flexion traumas, stress in varus and internal rotation. The structure responsible for avulsion is the lateral collateral ligament, and anterior cruciate ligament and lateral meniscal injuries are also frequently present(1-4). Hall and Hochman(5) provided the first report of an in...

OBJECTIVE To evaluate the effect of two tibial attachment sites for lateral suture stabilization (LSS) on the three-dimensional femorotibial translational and rotational movements of the cranial cruciate ligament- deficient canine stifle during the early, middle and late stance phases. STUDY DESIGN In vitro biomechanical study: 32 hindlimbs from 16 canine cadavers. METHODS Limbs were mounte...

ateral stability of the elbow depends on the integrity of the lateral collateral ligament and secondary softtissue restraints. Posterolateral rotatory subluxation of the elbow has been recognized in association with elbow trauma, surgery for epicondylitis, and congenital cubitus varus deformity. While abnormal signal changes on magnetic resonance imaging have been shown to include the lateral c...

BACKGROUND Radiographic landmarks for medial knee attachment sites during anatomic repairs or reconstructions are unknown. If identified, they could assist in the preoperative evaluation of structure location and allow for postoperative assessment of reconstruction tunnel placement. METHODS Radiopaque markers were implanted into the femoral and tibial attachments of the superficial medial col...

The purpose of this study was to evaluate prospectively the arthroscopic findings in the lateral compartment of knees with posterolateral knee complex injuries, to help identify individual injured anatomic structures, and to assist in the clinical identification of these injuries. Thirty of 33 consecutive knees noted to have grade 3 posterolateral knee complex injuries on preoperative evaluatio...

OBJECTIVE To evaluate the prevalence of deltoid ligament and distal tibiofibular syndesmosis injury on 3T magnetic resonance imaging (MRI) in patients with chronic lateral ankle instability (CLAI). MATERIALS AND METHODS Fifty patients (mean age, 35 years) who had undergone preoperative 3T MRI and surgical treatment for CLAI were enrolled. The prevalence of deltoid ligament and syndesmosis inj...

BACKGROUND Objective measures to quantitate the amount of lateral compartment opening for patients with lateral and posterolateral knee injuries have not been well documented. The purpose of the present study was to measure lateral compartment opening secondary to applied varus stresses following posterolateral corner structure sectioning and to develop radiographic guidelines to quantify the a...