Anatomic reconstruction of the posterolateral corner of the knee: a case series with isolated reconstructions in 27 patients

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Bent Wulff JakobsenMartin C Lind

Abstract

This study presents clinical results of a case series of isolated reconstruction of the posterolateral corner (PLC) with a new technique that aims to reconstruct the lateral collateral ligament (LCL), popliteus tendon, and popliteofibular ligament. From 1997 to 2005, 27 patients available for follow-up with isolated posterolateral instability were treated with primary reconstruction of the LCL and PLC. The median age was 28 years, and there were 16 male patients. Of the patients, 26% had remaining instability after anterior or posterior cruciate ligament reconstruction. All underwent reconstruction with a novel technique addressing both the LCL and the PLC by use of hamstring autografts. Follow-up was more than 24 months, and patients were examined by an independent observer using the International Knee Documentation Committee objective measures and subjective Knee Injury and Osteoarthritis Outcome Scores. In our series 95% of patients with isolated lateral rotatory instability had rotatory stability after PLC reconstruction. On the basis of International Knee Documentation Committee scoring, 71% were normal or nearly normal. Subjective Knee Injury and Osteoarthritis Outcome Scores were comparable to scores in patients after me...Continue Reading

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Citations

Jul 30, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Martin LindSvend Erik Christiansen
Nov 23, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Claudio ZorziNicola Maffulli
Oct 8, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jeff R S LeiterPeter B MacDonald
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Feb 14, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Sang Hak LeeHo-Joong Jung
May 20, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sanjuro TakedaMinoru Doita
Dec 30, 2014·Sports Medicine and Arthroscopy Review·Andrew J BlackmanBruce A Levy
May 23, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hideya IshigookaThay Q Lee
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