Advertisement

Surgery for Rotatory Knee Instability: Experience from the Hughston Clinic

  • Champ L. BakerIIIEmail author
  • Champ L. BakerJr.
Chapter
  • 1.1k Downloads

Abstract

Dr Jack Hughston developed a classification system to aid in the diagnosis, treatment, and research of knee ligament injuries. Rotatory knee instabilities are classified as anteromedial, anterolateral, and posterolateral. His published work on these injuries highlights the importance of knee anatomy as the key to a successful repair. His techniques focused upon the restoration of injured anatomy prior to the development of modern implants and the use of reconstructive grafts. Currently his successors at the Hughston Clinic utilize his principles for knee ligament reconstruction and repair in the treatment of rotatory knee instabilities.

Keywords

Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Rotatory Instability Capsular Ligament Arcuate Ligament 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Andrews JR, Sanders RA, Morin B (1985) Surgical treatment of anterolateral rotatory instability: a follow-up study. Am J Sports Med 13:112–119CrossRefPubMedGoogle Scholar
  2. 2.
    Baker CL Jr, Norwood LA, Hughston JC (1983) Acute posterolateral rotatory instability of the knee. J Bone Joint Surg Am 65:614–618PubMedGoogle Scholar
  3. 3.
    Hughston JC (1994) The importance of the posterior oblique ligament in repairs of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up. J Bone Joint Surg Am 76:1328–1344PubMedGoogle Scholar
  4. 4.
    Hughston JC (1993) Knee ligaments: injury and repair. Hughston Sports Medicine Foundation, ColumbusGoogle Scholar
  5. 5.
    Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part I: the medial compartment and cruciate ligaments. J Bone Joint Surg Am 58:159–172PubMedGoogle Scholar
  6. 6.
    Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part II: the lateral compartment. J Bone Joint Surg Am 58:173–179PubMedGoogle Scholar
  7. 7.
    Hughston JC, Barrett GR (1983) Acute anteromedial rotatory instability: long term results of surgical repair. J Bone Joint Surg Am 65:145–153PubMedGoogle Scholar
  8. 8.
    Hughston JC, Eilers AF (1973) The role of the posterior oblique ligament in repairs of acute medial (collateral) ligament tears of the knee. J Bone Joint Surg Am 55:923–940PubMedGoogle Scholar
  9. 9.
    Hughston JC, Jacobson KE (1985) Chronic posterolateral rotatory instability of the knee. J Bone Joint Surg Am 67:351–359PubMedGoogle Scholar
  10. 10.
    Hughston JC, Norwood LA (1980) The posterolateral drawer test and external rotational recurvatum test for posterolateral rotatory instability of the knee. Clin Orthop Relat Res 147:82–87PubMedGoogle Scholar
  11. 11.
    Laprade RF, Terry GC (1997) Injuries to the posterolateral aspect of the knee: association of anatomic injury patterns with clinical instability. Am J Sports Med 25:433–438CrossRefPubMedGoogle Scholar
  12. 12.
    Terry GC, Laprade RF (1996) The posterolateral aspect of the knee: anatomy and surgical approach. Am J Sports Med 24:732–739CrossRefPubMedGoogle Scholar
  13. 13.
    Terry GC, Hughston JC, Norwood LA (1986) The anatomy of the iliopatellar band and iliotibial tract. Am J Sports Med 14:39–45CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.The Hughston ClinicColumbusUSA

Personalised recommendations