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Midterm outcomes following anatomic-based popliteus tendon reconstructions.

Jorge Chahla¹, Evan W James¹, Mark E Cinque¹

¹Steadman Philippon Research Institute, Vail, CO, USA.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA

|January 14, 2017

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Anatomic popliteus tendon reconstruction significantly improved patient function and satisfaction for isolated tears. This surgical approach offers a high success rate for knee instability, enhancing activity levels post-surgery.

Area of Science:

Orthopedic Surgery
Sports Medicine
Knee Biomechanics

Background:

Posterolateral knee injuries often involve the popliteus tendon.
Isolated popliteus tendon tears can lead to significant knee instability.
Anatomic reconstruction aims to restore normal knee function.

Purpose of the Study:

To evaluate subjective outcomes after anatomic popliteus tendon reconstruction.
To assess the effectiveness of this procedure when the popliteus tendon is the sole injured posterolateral structure.
To test the hypothesis that reconstruction improves outcomes despite concurrent injuries.

Main Methods:

A case series of 5 patients with a median age of 23 years.
All patients underwent anatomic popliteus tendon reconstruction.

Keywords:

Anatomic popliteus Popliteus tendon

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Pre- and post-operative Lysholm scores, Tegner activity scale, and patient satisfaction were recorded.

Main Results:

Median follow-up was 2.8 years.
Lysholm score improved from 53 to 91.
Tegner activity scale improved from 3 to 4.8, with high patient satisfaction (median 9/10).

Conclusions:

Anatomic popliteus tendon reconstruction yields favorable outcomes.
The procedure leads to high patient satisfaction in cases of complete popliteus tendon tears.
This technique effectively addresses symptomatic knee instability caused by isolated popliteus tendon injuries.