The Posterolateral Corner of the Knee

Stannard, James P.; Brown, Stephen L.; Farris, Rory C.; McGwin, Gerald; Volgas, David A.

doi:10.1177/0363546504271208

Cited by 338 publications

(295 citation statements)

References 23 publications

Supporting

Mentioning

282

Contrasting

Unclassified

Order By: Relevance

“…Numerous techniques have been attempted, such as lateral advancement, tenodesis of the biceps, and repair or reconstruction of the structures. [1][2][3][4] According to Stannard et al, 3 better results have been obtained with reconstruction techniques. …”

Section: Discussionmentioning

confidence: 99%

“…The current tendency is to reconstruct both the ACL and the structures of the PLC, rather than repairing the latter. [1][2][3][4] In injuries involving multiple segments, a potential problem with reconstruction is the convergence of femoral tunnels in the lateral walls in the case of ACL and PLC reconstruction and in the medial walls in the case of posterior cruciate ligament and medial collateral ligament reconstruction. 5,6 As a solution to this problem, we propose a combined technique for reconstruction of the ACL and PLC with a single tunnel in the lateral femoral wall.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Combined Reconstruction of the Anterior Cruciate Ligament and Posterolateral Corner With a Single Femoral Tunnel

Angelini

Helito

Tozi

et al. 2013

Arthroscopy Techniques

View full text Add to dashboard Cite

Combined injuries involving the anterior cruciate ligament (ACL) and posterolateral corner (PLC) occur in approximately 10% of complex knee injuries. The current tendency is to reconstruct both the ACL and the structures of the PLC. In injuries involving multiple ligaments, a potential problem in the reconstruction is the convergence of tunnels in the lateral walls of the femur. As a solution to this problem, we propose a combined technique for reconstruction of the ACL and PLC with a single tunnel in the lateral femoral wall. Combined ACL/PLC reconstruction is performed with 2 semitendinosus tendons and 1 gracilis tendon. The technique consists of making a tunnel in the lateral wall of the femur, from the outside in, at the isometric point, for reconstruction of the collateral ligament and popliteus tendon, and emerging in the joint region at the anatomic point of the ACL reconstruction. The graft is passed from the tibia to the femur with the double gracilis tendon and the simple semitendinosus tendon; the remaining portions are left for reconstruction of the structures of the PLC. This technique is very effective in terms of minimizing the number of tunnels, but it does rely on having grafts of adequate size.C ombined injuries involving the anterior cruciate ligament (ACL) and posterolateral corner (PLC) occur in approximately 10% of complex knee injuries. Patients with these injuries have a high level of knee instability, even for day-to-day activities, and tend to place too much burden on the medial compartment. This problem can be resolved with surgical treatment. The current tendency is to reconstruct both the ACL and the structures of the PLC, rather than repairing the latter. [1][2][3][4] In injuries involving multiple segments, a potential problem with reconstruction is the convergence of femoral tunnels in the lateral walls in the case of ACL and PLC reconstruction and in the medial walls in the case of posterior cruciate ligament and medial collateral ligament reconstruction. 5,6 As a solution to this problem, we propose a combined technique for reconstruction of the ACL and PLC with a single tunnel in the lateral femoral wall.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Combined Reconstruction of the Anterior Cruciate Ligament and Posterolateral Corner With a Single Femoral Tunnel

Angelini

Helito

Tozi

et al. 2013

Arthroscopy Techniques

View full text Add to dashboard Cite

show abstract

“…12 Higher failure rates have been shown with lateral-sided repairs versus reconstruction in the multiligament-injured knee. 13,14 Fig 6. The 9 Â 25emm femoral socket is reamed and tapped, and the calcaneal bone plug is fixed in place with a 7 Â 25emm BioComposite interference screw.…”

Section: Discussionmentioning

confidence: 99%

Open Anatomic Reconstruction of the Medial Collateral Ligament and Posteromedial Corner

Prince

Blackman

King

et al. 2015

Arthroscopy Techniques

View full text Add to dashboard Cite

Injuries to the medial collateral ligament (MCL) and posteromedial corner can occur in isolation or in the setting of multiligamentous knee injuries. Reconstruction of the MCL and posteromedial corner is indicated in the setting of a multiligamentous knee injury. Isolated cases failing nonoperative treatment may also undergo surgical treatment. Our preferred technique for anatomic medial-sided knee reconstruction is an open anatomic MCL reconstruction using an Achilles tendon allograft along with direct repair of all associated medial and posteromedial structures.

show abstract

“…One of the reasons for advocating early surgery in multiligament knee injuries is that the collaterals can be repaired; the repair becomes increasingly difficult two to three weeks after surgery. However, recent literature suggests that reconstruction of the PLC is better than repair, 28,29 and therefore, if one is contemplating a reconstruction, an early surgery is not a necessity. Giannoudis et al 30 reported five cases of knee dislocation with ipsilateral femoral shaft fractures.…”

Section: Management Of the Knee Dislocationmentioning

confidence: 99%