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All-Arthroscopic Popliteus Tendon Reconstruction With Dual-Posterolateral Portal Technique
Steven Heylen1,2,3, Matthias Krause4, Peter Verdonk3,5
1Department of Trauma and Orthopaedics, Heilig Hart Ziekenhuis Lier, Lier, Belgium.
Arthroscopy Techniques
|July 14, 2025
Summary
This study presents a novel arthroscopic knee surgery technique for posterolateral corner reconstruction. It avoids the transseptal approach, reducing risks associated with the popliteal neurovascular bundle.
Area of Science:
- Orthopedic Surgery
- Knee Arthroscopy
- Sports Medicine
Background:
- Posterolateral corner (PLC) injuries often require surgical reconstruction.
- Current arthroscopic techniques commonly employ a transseptal approach.
- The transseptal approach poses risks due to proximity to the popliteal neurovascular bundle.
Purpose of the Study:
- To describe an alternative arthroscopic technique for popliteus tendon reconstruction.
- To avoid the transseptal approach in knee posterolateral corner reconstruction.
- To enhance surgical safety by circumventing the popliteal neurovascular bundle.
Main Methods:
- Utilized dual posterolateral portals for arthroscopic visualization and instrumentation.
- Performed popliteus tendon reconstruction without a transseptal incision.
- Focused on anatomical reconstruction of the posterolateral corner.
Main Results:
- Successfully reconstructed the popliteus tendon arthroscopically.
- The technique successfully avoided the transseptal pathway.
- Demonstrated a viable alternative to traditional transseptal approaches.
Conclusions:
- Dual posterolateral portals offer a safe and effective alternative for arthroscopic popliteus tendon reconstruction.
- This technique minimizes potential risks to the popliteal neurovascular bundle.
- Provides a valuable option for knee posterolateral corner repair.
