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Anatomic Posterolateral Corner Reconstruction With Autogenous Peroneus Longus Y Graft Construct
Sachin Ramchandra Tapasvi1, Anshu Shekhar1, Shantanu Sudhakar Patil2
1The Orthopaedic Speciality Clinic, Pune, India.
Arthroscopy Techniques
|January 1, 2020
Summary
This study details an anatomic reconstruction of the posterolateral corner of the knee using a peroneus longus autograft. This technique restores varus and rotational stability, crucial for knee function.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanics
Background:
- The posterolateral corner (PLC) of the knee is vital for knee stability.
- Injuries to the PLC compromise varus and rotational stability.
- Anatomic reconstruction techniques are essential for restoring knee function.
Purpose of the Study:
- To describe an anatomic technique for reconstructing the PLC.
- To utilize a peroneus longus autograft for PLC reconstruction.
- To detail the surgical steps for graft preparation and fixation.
Main Methods:
- Anatomic PLC reconstruction using 2 femoral sockets and tibial/fibular tunnels.
- Preparation of a Y-shaped peroneus longus autograft.
- Sequential fixation of the graft to reconstruct the fibular collateral ligament, popliteus tendon, and popliteofibular ligament.
Main Results:
- The described technique allows for anatomic restoration of PLC structures.
- The peroneus longus autograft provides sufficient length and diameter.
- The Y-construct facilitates sequential reconstruction of all PLC components.
Conclusions:
- Anatomic reconstruction of the PLC using a peroneus longus autograft is feasible.
- This technique effectively restores varus and rotational knee stability.
- The Y-shaped graft offers a versatile solution for complex PLC injuries.
