Posterolateral corner repair and reconstruction: overview of current techniques

Franciozi, Carlos Eduardo da Silveira; Kubota, Marcelo Seiji; Abdalla, René Jorge; Cohen, Moisés; Luzo, Marcus Vinícius Malheiros; LaPrade, Robert F.

doi:10.21037/aoj.2018.11.04

Cited by 13 publications

(12 citation statements)

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“…These can be broadly divided into non-anatomical or anatomical techniques. [21,43] The nonanatomical techniques can be fibular based or tibial based two-tailed reconstructions. The anatomical techniques reconstruct the LCL, popliteofibular ligament, and the popliteus tendon.…”

Section: Lateral Collateral Ligament (Lcl) and Plcmentioning

confidence: 99%

“…The anatomical techniques reconstruct the LCL, popliteofibular ligament, and the popliteus tendon. [43] The anatomical techniques have been shown to be biomechanically superior, however, with similar clinical outcomes. [21,43] Recently, newer anatomic reconstruction techniques have been described utilizing a single autograft, either semitendinosus or peroneus longus.…”

Section: Lateral Collateral Ligament (Lcl) and Plcmentioning

confidence: 99%

“…[43] The anatomical techniques have been shown to be biomechanically superior, however, with similar clinical outcomes. [21,43] Recently, newer anatomic reconstruction techniques have been described utilizing a single autograft, either semitendinosus or peroneus longus. [44,45] However, biomechanical and clinical testing is required to validate these methods.…”

Section: Lateral Collateral Ligament (Lcl) and Plcmentioning

confidence: 99%

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Advances and trends in multiligament injuries of the knee relevant to low-resource settings

Held

North

Bormann

et al. 2020

JASSM

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Recent advances in the management of multiligament knee injuries have led to improvements in diagnosis and management and allowed enhanced understanding of the biomechanics of ligament reconstructions. Most studies arise from subspecialist knee centers in high-income countries and can inform global strategies, but each patient encounter and environment is unique and not all recommendations may be feasible in every setting. For ligamentous injuries, the gold standard is acute arthroscopic, single-stage ligament reconstruction, although this is not always possible in the limited resource setting (LRS). For these circumstances, non-operative management, although rarely promoted, may be preferred in selected patients. Furthermore, acute surgery relies on adequate post-operative physiotherapy, otherwise a delayed surgical approach should be considered. Reconstruction remains the gold standard, but acute repair is an option for medial collateral and posterior cruciate ligaments and for avulsion fractures. For a vascular examination, a careful clinical assessment and routine angiography should be done in LRS. Due to the heterogeneity of injury and patient profile, outcomes vary widely and need to be interpreted in the context of the surgical setup. The main complications of these injuries are stiffness, residual laxity, and surgical site infections. Future trends will need to include a global perspective and provide solutions for surgeons in various parts of the world.

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Section: Lateral Collateral Ligament (Lcl) and Plcmentioning

confidence: 99%

Section: Lateral Collateral Ligament (Lcl) and Plcmentioning

confidence: 99%

Section: Lateral Collateral Ligament (Lcl) and Plcmentioning

confidence: 99%

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Advances and trends in multiligament injuries of the knee relevant to low-resource settings

Held

North

Bormann

et al. 2020

JASSM

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“…6 The treatment of PLC knee injuries has always been a challenging topic due to the low healing capacity of PLC injuries. 7 The use of graft for multiple ligament reconstruction is still in debate all around the world. There are three choices of grafts, which are auto grafts, allografts, and synthetic grafts.…”

Section: Introductionmentioning

confidence: 99%

Posterior cruciate ligament and posterolateral corner reconstruction in patient with multiple ligament injury of the knee: a case report

Aryana¹,

Kermawan²

2020

Int J Res Med Sci

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The treatment of posterolateral corner (PLC) knee injuries has always been a challenging topic due to the low healing capacity of PLC injuries. Authors performed posterior cruciate ligament reconstruction using semitendinosus tendon graft and reconstruction procedure of PLC using free gracilis tendon graft with LaPrade technique in a patient with multiple ligament injury of the knee. A 36-years-old male patient complained of pain on his right knee. On physical examination, the posterior drawer test, dial test, and varus stress test were positive. Magnetic resonance imaging (MRI) on right knee showed that the posterior cruciate ligament (PCL), lateral collateral ligament, and popliteofibular ligament were injured but the popliteus tendon was still intact. A semitendinosus tendon was harvested from the ipsilateral pes anserinus region for posterior cruciate ligament reconstruction. Posterolateral corner reconstruction was done by grafting two gracilis tendons from ipsilateral and contralateral sides using LaPrade technique. The semitendinosus tendon graft had been used for PCL reconstruction in some cases besides the hamstring tendon graft and provides a clinically evident reduction in symptoms and restores satisfactory stability. The LaPrade technique for PLC reconstruction was one of the earliest descriptions of a surgical option to recreate the anatomy of the three main static stabilizers of the PLC. We reported a reconstructive procedure for PCL and PLC injury of the knee by using semitendinosus and gracilis tendon graft with LaPrade technique.

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“…The deep understanding of these lesions from the words of experienced surgeons brings light to this not so-well comprehended subject. There is no simple algorithm of treatment, as these lesions are extremely heterogeneous; outcomes published rely mostly on level 3 and 4 studies and there are several techniques described, anatomic and nonanatomic (2)(3)(4)(5). In addition, the rehabilitation protocols are diverse, from a rigid brace to an immediate range of motion.…”

mentioning

confidence: 99%

State of the art in multiligament knee injuries: from diagnosis to treatment

Sobrado¹

2019

Ann. Transl. Med

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Posterolateral corner repair and reconstruction: overview of current techniques

Cited by 13 publications

References 0 publications

Advances and trends in multiligament injuries of the knee relevant to low-resource settings

Advances and trends in multiligament injuries of the knee relevant to low-resource settings

Posterior cruciate ligament and posterolateral corner reconstruction in patient with multiple ligament injury of the knee: a case report

State of the art in multiligament knee injuries: from diagnosis to treatment

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