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Anatomic Posterolateral Corner Reconstruction.

Raphael Serra Cruz1, Justin J Mitchell2, Chase S Dean3

  • 1Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, Brazil.

Arthroscopy Techniques
|September 23, 2016
PubMed
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Posterolateral corner injuries require surgical reconstruction for grade III tears due to significant knee instability. This technical note details an anatomic reconstruction technique for optimal outcomes.

Area of Science:

  • Orthopedic Surgery
  • Knee Biomechanics
  • Sports Medicine

Background:

  • Posterolateral corner (PLC) injuries are complex knee lesions affecting coronal and rotatory stability.
  • These injuries often accompany other ligament damage, complicating treatment decisions.
  • Grade III PLC injuries lead to substantial instability and poor results with nonoperative management.

Purpose of the Study:

  • To present a diagnostic approach for posterolateral corner injuries.
  • To outline postoperative management strategies.
  • To describe a technique for anatomic reconstruction of the PLC.

Main Methods:

  • Review of diagnostic methods for PLC injuries.
  • Description of a surgical technique for anatomic PLC reconstruction.

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  • Discussion of postoperative care protocols.
  • Main Results:

    • Anatomic reconstruction addresses the complex stabilizers of the PLC.
    • Surgical technique aims to restore knee stability and function.
    • Detailed approach facilitates reproducible surgical outcomes.

    Conclusions:

    • Anatomic reconstruction is essential for grade III posterolateral corner injuries.
    • Thorough anatomical knowledge is critical for successful surgical repair.
    • This technical note provides a comprehensive guide for PLC reconstruction.