Abstract
Several surgical techniques have been described to treat posterolateral corner (PLC) injuries. These include advancement of the osseous attachment of the arquate ligament complex [1], proximal advancement of the posterolateral complex [2], biceps tenodesis [3], and tibial sling procedures [4]. More recently, in an attempt to address these injuries with a more anatomic perspective, other techniques have been described. Currently, the two more common groups of PLC reconstructions are considered those involving tunnels in the fibular head [5–7], and those combining this transfibular tunnel with a tibial sling [8, 9].
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Hughston JC, Jacobson KE. Chronic posterolateral rotatory instability of the knee. J Bone Joint Surg Am. 1985;67:351–9.
Noyes FR, Barber-Westin SD. Surgical restoration to treat chronic deficiency of the posterolateral complex and cruciate ligaments of the knee joint. Am J Sports Med. 1996;24:415–26.
Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction. Arthroscopy. 1996;12:521–30.
Albright JP, Brown AW. Management of chronic posterolateral rotatory instability of the knee: surgical technique for the posterolateral corner sling procedure. Instr Course Lect. 1998;47:369–78.
Arciero RA. Anatomic posterolateral corner reconstruction. Arthroscopy. 2005;21:1147.
Zhang H, Feng H, Hong L, Wang X, Zhang J. Popliteofibular ligament reconstruction for posterolateral external rotation instability of the knee. Knee Surg Traumatol Arthrosc. 2009;17:1070–7.
Larson RV. Isometry of the lateral collateral and popliteofibular ligaments and techniques for reconstruction using a free semitendinosus tendon graft. Op Techniques for Sport Med. 2001;9:84–90.
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;32:1405–14.
Lee MC, Park YK, Lee SH, Jo H, Seong SC. Posterolateral reconstruction using split Achilles tendon allograft. Arthroscopy. 2003;19:1043–9.
Jung YB, Jung HJ, Kim SJ, Park SJ, Song KS, Lee YS, Lee SH. Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries: comparison between fibular tunnel and tibial tunnel techniques. Knee Surg Sports Traumatol Arthrosc. 2008;16:239–48.
Sanchez AR 2nd, Sugalski MT, LaPrade RF. Anatomy and biomechanics of the lateral side of the knee. Sports Med Arthrosc Rev. 2006;14:2–11.
LaPrade RF, Ly TV, Wentorf FA, Engenretsen 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;31:854–60.
Staubli HU, Birrer S. The popliteus tendon and its fascicles at the popliteal hiatus: gross anatomy and functional arthroscopic evaluation with and without anterior cruciate ligament deficiency. Arthroscopy. 1990;6:209–20.
Fanelli GC, Larson RV. Practical management of posterolateral instability of the knee. Arthroscopy. 2002;18:1–8.
Li Y, Zhang H, Zhang J, Li X, Zheng T, Zhang Z, Feng H. The clinical outcome of arthroscopic versus open popliteal tendon reconstruction combined with posterior cruciate ligament reconstruction in patients with type a posterolateral rotational instability. Arthroscopy. 2019;35:2402–9.
Terry GC, LaPrade RF. The posterolateral aspect of the knee. Anatomy and surgical approach. Am J Sports Med. 1996;24:732–9.
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Gelber, P.E. (2020). Reconstructions with Tibial Slings. When and How?. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_15
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DOI: https://doi.org/10.1007/978-3-662-61264-4_15
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