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ACL and Posterolateral Corner Injuries.

Robert S Dean1, Robert F LaPrade2

  • 1Twin Cities Orthopedics, Edina, MN, USA. robertdean@TCOmn.com.

Current Reviews in Musculoskeletal Medicine
|December 30, 2019
PubMed
Summary
This summary is machine-generated.

Injuries to the posterolateral corner (PLC) are crucial in anterior cruciate ligament (ACL) deficient knees. Addressing both PLC and ACL injuries simultaneously ensures optimal outcomes in knee reconstruction surgery.

Keywords:
Anterior cruciate ligamentLateral (fibular) collateral ligamentLigament reconstructionMultiligament injuryPosterolateral corner

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Area of Science:

  • Orthopedic surgery
  • Knee biomechanics
  • Sports medicine

Background:

  • The posterolateral corner (PLC) is vital for knee stability, especially with anterior cruciate ligament (ACL) deficiency.
  • Understanding PLC injuries is increasingly important in managing knee instability.

Purpose of the Study:

  • To review current concepts of PLC injuries.
  • To discuss the role of the PLC in ACL-deficient and ACL-reconstructed knees.

Main Methods:

  • Review of recent literature on PLC injuries and their management.
  • Analysis of surgical techniques for combined ACL and PLC reconstruction.

Main Results:

  • Single-staged, combined reconstruction is the optimal approach.
  • Successful outcomes reported in over 90% of patients undergoing reconstruction.
  • Techniques to avoid tunnel collision during multiligament reconstruction are highlighted.

Conclusions:

  • Simultaneous treatment of concomitant PLC and ACL injuries is essential.
  • Thorough understanding of local anatomy, diagnostic methods, and surgical techniques is critical for successful clinical outcomes.