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ESSKA Instructional Course Lecture Book pp 113–126Cite as

Posterolateral Corner Reconstruction: Approach to Treatment Including Mini-open and Arthroscopic Techniques (ICL 10)

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Abstract

The posterolateral corner of the knee is an anatomically complex region. Successful treatment of injuries to this part of the knee requires a detailed understanding of its anatomy and biomechanics. Injuries are graded based upon the structures involved and the resulting patterns of instability, and there are multiple different reconstruction techniques described, all of which differ in their ability to recreate the biomechanics of this region. The approaches for performing these reconstructions run the gamut from total open, to minimally invasive, through to arthroscopically assisted techniques.

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References

  1. Alpert JM, McCarty LP, Bach Jr BR. The posterolateral corner of the knee: anatomic dissection and surgical approach. J Knee Surg. 2008;21(1):50–4.

    Article  PubMed  Google Scholar 

  2. Arciero RA. Anatomic posterolateral corner knee reconstruction. Arthroscopy. 2005;21(9):1147.

    PubMed  Google Scholar 

  3. Clancy W. Repair and reconstruction of the posterior cruciate ligament. In: Chapman M, editor. Operative orthopaedics. Philadelphia: JB Lippincott; 1988. p. 1651–65.

    Google Scholar 

  4. Coobs BR, LaPrade RF, Griffith CJ, Nelson BJ. Biomechanical analysis of an isolated fibular (lateral) collateral ligament reconstruction using an autogenous semitendinosus graft. Am J Sports Med. 2007;35(9):1521–7.

    Article  PubMed  Google Scholar 

  5. Cooper JM, McAndrews PT, LaPrade RF. Posterolateral corner injuries of the knee: anatomy, diagnosis, and treatment. Sports Med Arthrosc. 2006;14(4):213–20.

    Article  PubMed  Google Scholar 

  6. Covey DC. Injuries of the posterolateral corner of the knee. J Bone Joint Surg Am. 2001;83-A(1):106–18.

    CAS  PubMed  Google Scholar 

  7. Davies H, Unwin A, Aichroth P. The posterolateral corner of the knee. Anatomy, biomechanics and management of injuries. Injury. 2004;35(1):68–75.

    Article  PubMed  Google Scholar 

  8. Fanelli GC, Fanelli DG, Edson CJ, Fanelli MG. Combined anterior cruciate ligament and posterolateral reconstruction of the knee using allograft tissue in chronic knee injuries. J Knee Surg. 2014;27(5):353–8.

    Article  PubMed  Google Scholar 

  9. Fanelli GC, Larson RV. Practical management of posterolateral instability of the knee. Arthroscopy. 2002;18(2 Suppl 1):1–8.

    Article  PubMed  Google Scholar 

  10. Feng H, Hong L, Geng XS, Zhang H, Wang XS, Zhang J. Posterolateral sling reconstruction of the popliteus tendon: an all-arthroscopic technique. Arthroscopy. 2009;25(7):800–5.

    Article  PubMed  Google Scholar 

  11. Frosch KH, Akoto R, Heitmann M, Enderle E, Giannakos A, Preiss A. Arthroscopic reconstruction of the popliteus complex: accuracy and reproducibility of a new surgical technique. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):3114–20.

    Article  PubMed  Google Scholar 

  12. Gelber PE, Erquicia JI, Sosa G, Ferrer G, Abat F, Rodriguez-Baeza A, Segura-Cros C, Monllau JC. Femoral tunnel drilling angles for the posterolateral corner in multiligamentary knee reconstructions: computed tomography evaluation in a cadaveric model. Arthroscopy. 2013;29(2):257–65.

    Article  PubMed  Google Scholar 

  13. Jakobsen BW, Lund B, Christiansen SE, Lind MC. Anatomic reconstruction of the posterolateral corner of the knee: a case series with isolated reconstructions in 27 patients. Arthroscopy. 2010;26(7):918–25.

    Article  PubMed  Google Scholar 

  14. LaPrade RF, Johansen S, Agel J, Risberg MA, Moksnes H, Engebretsen L. Outcomes of an anatomic posterolateral knee reconstruction. J Bone Joint Surg Am. 2010;92(1):16–22.

    Article  PubMed  Google Scholar 

  15. LaPrade RF, Johansen S, Wentorf FA, Engebretsen L, Esterberg JL, Tso A. An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med. 2004;32(6):1405–14.

    Article  PubMed  Google Scholar 

  16. LaPrade RF, Ly TV, Wentorf FA, Engebretsen L. The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med. 2003;31(6):854–60.

    PubMed  Google Scholar 

  17. LaPrade RF, Morgan PM, Wentorf FA, Johansen S, Engebretsen L. The anatomy of the posterior aspect of the knee. An anatomic study. J Bone Joint Surg Am. 2007;89(4):758–64.

    Article  PubMed  Google Scholar 

  18. LaPrade RF, Wentorf F. Diagnosis and treatment of posterolateral knee injuries. Clin Orthop Relat Res. 2002;402:110–21.

    Article  PubMed  Google Scholar 

  19. LaPrade RF, Wentorf FA, Fritts H, Gundry C, Hightower CD. A prospective magnetic resonance imaging study of the incidence of posterolateral and multiple ligament injuries in acute knee injuries presenting with a hemarthrosis. Arthroscopy. 2007;23(12):1341–7.

    Article  PubMed  Google Scholar 

  20. LaPrade RF, Wozniczka JK, Stellmaker MP, Wijdicks CA. Analysis of the static function of the popliteus tendon and evaluation of an anatomic reconstruction: the “fifth ligament” of the knee. Am J Sports Med. 2010;38(3):543–9.

    Article  PubMed  Google Scholar 

  21. Larson RV, Tingstad E. Lateral and posterolateral instability of the knee in adults. In: Miller MD, editor. DeLee & Drez’s orthopaedic sports medicine. 4th ed. Philadelphia: WB Saunders; 2003.

    Google Scholar 

  22. Marshall JL, Girgis FG, Zelko RR. The biceps femoris tendon and its functional significance. J Bone Joint Surg Am. 1972;54(7):1444–50.

    CAS  PubMed  Google Scholar 

  23. McCarthy M, Camarda L, Wijdicks CA, Johansen S, Engebretsen L, Laprade RF. Anatomic posterolateral knee reconstructions require a popliteofibular ligament reconstruction through a tibial tunnel. Am J Sports Med. 2010;38(8):1674–81.

    Article  PubMed  Google Scholar 

  24. Miyatake S, Kondo E, Tsai TY, Hirschmann M, Halewood C, Jakobsen BW, Yasuda K, Amis AA. Biomechanical comparisons between 4-strand and modified Larson 2-strand procedures for reconstruction of the posterolateral corner of the knee. Am J Sports Med. 2011;39(7):1462–9.

    Article  PubMed  Google Scholar 

  25. Muller W. Form, funktion und ligamentare widerherstellungschirurgie. Berlin: Springer; 1981.

    Google Scholar 

  26. Osti M, Tschann P, Kunzel KH, Benedetto KP. Posterolateral corner of the knee: microsurgical analysis of anatomy and morphometry. Orthopedics. 2013;36(9):e1114–20.

    Article  PubMed  Google Scholar 

  27. Raheem O, Philpott J, Ryan W, O’Brien M. Anatomical variations in the anatomy of the posterolateral corner of the knee. Knee Surg Sports Traumatol Arthrosc. 2007;15(7):895–900.

    Article  CAS  PubMed  Google Scholar 

  28. Schechinger SJ, Levy BA, Dajani KA, Shah JP, Herrera DA, Marx RG. Achilles tendon allograft reconstruction of the fibular collateral ligament and posterolateral corner. Arthroscopy. 2009;25(3):232–42.

    Article  PubMed  Google Scholar 

  29. Shahane SA, Ibbotson C, Strachan R, Bickerstaff DR. The popliteofibular ligament. An anatomical study of the posterolateral corner of the knee. J Bone Joint Surg Br. 1999;81(4):636–42.

    Article  CAS  PubMed  Google Scholar 

  30. Song GY, Zhang H, Zhang J, Li Y, Feng H. Anatomical popliteofibular ligament reconstruction of the knee joints: an all-arthroscopic technique. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):2925–9.

    Article  PubMed  Google Scholar 

  31. Sugita T, Amis AA. Anatomic and biomechanical study of the lateral collateral and popliteofibular ligaments. Am J Sports Med. 2001;29(4):466–72.

    CAS  PubMed  Google Scholar 

  32. Terry GC, LaPrade RF. The posterolateral aspect of the knee. Anatomy and surgical approach. Am J Sports Med. 1996;24(6):732–9.

    Article  CAS  PubMed  Google Scholar 

  33. Veltri DM, Deng XH, Torzilli PA, Maynard MJ, Warren RF. The role of the popliteofibular ligament in stability of the human knee. A biomechanical study. Am J Sports Med. 1996;24(1):19–27.

    Article  CAS  PubMed  Google Scholar 

  34. Veltri DM, Warren RF. Posterolateral instability of the knee. Instr Course Lect. 1995;44:441–53.

    CAS  PubMed  Google Scholar 

  35. Wascher DC, Grauer JD, Markoff KL. Biceps tendon tenodesis for posterolateral instability of the knee. An in vitro study. Am J Sports Med. 1993;21(3):400–6.

    Article  CAS  PubMed  Google Scholar 

  36. Watanabe Y, Moriya H, Takahashi K, Yamagata M, Sonoda M, Shimada Y, Tamaki T. Functional anatomy of the posterolateral structures of the knee. Arthroscopy. 1993;9(1):57–62.

    Article  CAS  PubMed  Google Scholar 

  37. Yoon KH, Lee JH, Bae DK, Song SJ, Chung KY, Park YW. Comparison of clinical results of anatomic posterolateral corner reconstruction for posterolateral rotatory instability of the knee with or without popliteal tendon reconstruction. Am J Sports Med. 2011;39(11):2421–8.

    Article  PubMed  Google Scholar 

  38. Zhang H, Feng H, Hong L, Wang XS, Zhang J. Popliteofibular ligament reconstruction for posterolateral external rotation instability of the knee. Knee Surg Sports Traumatol Arthrosc. 2009;17(9):1070–7.

    Article  CAS  PubMed  Google Scholar 

  39. Zorzi C, Alam M, Iacono V, Madonna V, Rosa D, Maffulli N. Combined PCL and PLC reconstruction in chronic posterolateral instability. Knee Surg Sports Traumatol Arthrosc. 2013;21(5):1036–42.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Orthopaedic Surgery, Fundació Hospitalaria de Mollet, Universitat de Barcelona, Barcelona, Spain

    Ivan Saenz MD

  2. Orthopaedic and Trauma Department – Consorci Sanitari de l’Anoia – Hospital d’Igualada, ICATME – Hospital Universitari Quirón Dexeus, Barcelona, Spain

    Xavier Pelfort MD, PhD

  3. Steadman Philippon Research Institute, Bio Medical Engineering, 181 West Meadow Drive, Suite 400, Vail, CO, 81657, USA

    Robert F. LaPrade MD, PhD

  4. Sydney Orthopaedic Research Institute, Royal Prince Alfred Hospital, Mater Private Hospital, North Shore Knee Clinic, Chatswood, Australia

    Brett A. Fritsch MBBS

  5. Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain

    Pablo E. Gelber MD, PhD

  6. Department of Trauma and Reconstructive Surgery with Division of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Lohmuehlenstr. 5, Hamburg, 20099, Germany

    Karl-Heinz Frosch

Authors
  1. Ivan Saenz MD
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  2. Xavier Pelfort MD, PhD
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  3. Robert F. LaPrade MD, PhD
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  4. Brett A. Fritsch MBBS
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  5. Pablo E. Gelber MD, PhD
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  6. Karl-Heinz Frosch
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Corresponding author

Correspondence to Pablo E. Gelber MD, PhD .

Editor information

Editors and Affiliations

  1. Med.Dir.Uni.Hosp.Brande."The.Fon.Med.Sch, Dept.ofOrtho.&Traumato.Cen.of Jt.Replac., Brandenburg, Brandenburg, Germany

    Roland Becker

  2. Academic Medical Center, Orthopaedic Surgery, AZ Amsterdam, The Netherlands

    Gino M.M.J. Kerkhoffs

  3. Universitat Autònoma de Barcelona, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

    Pablo E. Gelber

  4. Istituto Clinico Humanitas, Monza, Italy

    Matteo Denti

  5. Centre Hospitalier de Luxembourg, Clinique d'Eich, Luxembourg, Luxembourg

    Romain Seil

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© 2016 ESSKA

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Saenz, I., Pelfort, X., LaPrade, R.F., Fritsch, B.A., Gelber, P.E., Frosch, KH. (2016). Posterolateral Corner Reconstruction: Approach to Treatment Including Mini-open and Arthroscopic Techniques (ICL 10). In: Becker, R., Kerkhoffs, G., E. Gelber, P., Denti, M., Seil, R. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49114-0_9

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  • DOI: https://doi.org/10.1007/978-3-662-49114-0_9

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49113-3

  • Online ISBN: 978-3-662-49114-0

  • eBook Packages: MedicineMedicine (R0)

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