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Related Experiment Video

Updated: Jan 4, 2026

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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An All-Arthroscopic Technique for Complex Posterolateral Corner Reconstruction.

Jan Philipp Kolb1, Jannik Frings1, Matthias Krause1

  • 1Trauma, Hand and Reconstructive Surgery, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.

Arthroscopy Techniques
|November 6, 2019
PubMed
Summary

This study introduces an all-arthroscopic technique for posterolateral corner (PLC) stabilization, offering a minimally invasive approach for knee injuries. This method ensures precise anatomic tunnel placement and protects surrounding soft tissues for improved patient outcomes.

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Area of Science:

  • Orthopedic surgery
  • Knee arthroscopy
  • Sports medicine

Background:

  • Posterolateral corner (PLC) injuries cause significant knee instability.
  • Current surgical techniques for PLC injuries often involve open procedures.
  • The LaPrade technique effectively addresses posterolateral rotatory and lateral instability.

Purpose of the Study:

  • To present an all-arthroscopic technique for anatomical posterolateral corner stabilization.
  • To describe the methodology for performing this minimally invasive procedure.
  • To highlight the advantages of arthroscopic versus open PLC reconstruction.

Main Methods:

  • Utilized 5 distinct arthroscopic portals for visualization and access.
  • Employed a trans-septal approach for PLC visualization.

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  • Created anatomic drill tunnels in the femur and fibula.
  • Reconstructed key ligaments (popliteal tendon, popliteofibular ligament, lateral collateral ligament) using autologous hamstring tendons.

    • Main Results:

    • The all-arthroscopic technique allows for precise, direct visualization of tunnel placement.
    • This approach protects surrounding soft tissues compared to open surgery.
    • The procedure was demonstrated to be a safe and anatomically accurate method for PLC stabilization.

    Conclusions:

    • An all-arthroscopic technique for anatomical PLC reconstruction is feasible and effective.
    • Minimally invasive arthroscopic approach offers advantages in soft tissue preservation and tunnel accuracy.
    • This technique provides a safe and reliable option for managing complex knee instabilities.