Fibular head and tibial-based (2-Tailed) posterolateral corner reconstruction

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomechanics

Background:

• Posterolateral corner (PLC) injuries often involve complex ligamentous and tendinous damage.
• Traditional reconstruction methods may not fully restore native knee anatomy and function.

Purpose of the Study:

• To review the history and indications for two-tailed PLC reconstruction.
• To describe the authors' preferred surgical technique.
• To analyze the biomechanical and clinical outcomes of this approach.

Main Methods:

• Review of existing literature on PLC reconstruction techniques.
• Description of a specific two-tailed graft technique using femoral origin and tibial/fibular head insertion.
• Analysis of biomechanical studies and clinical follow-up data.

Main Results:

• Two-tailed reconstruction allows for anatomical placement of grafts.
• The technique aims to restore the fibular collateral ligament, popliteus tendon, and popliteofibular ligament.
• Biomechanical and clinical data support the efficacy of this method.

Conclusions:

• Two-tailed reconstruction is a viable technique for addressing complex PLC injuries.
• Anatomical graft placement is crucial for successful reconstruction.
• Further research should continue to evaluate long-term outcomes.