An All-Arthroscopic Technique for Complex Posterolateral Corner Reconstruction
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An All-Arthroscopic Technique for Complex Posterolateral Corner Reconstruction. / Kolb, Jan Philipp; Frings, Jannik; Krause, Matthias; Hartel, Maximilian; Frosch, Karl Heinz.
in: ARTHROSC TEC, Jahrgang 8, Nr. 9, 09.2019, S. e999-e1006.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - An All-Arthroscopic Technique for Complex Posterolateral Corner Reconstruction
AU - Kolb, Jan Philipp
AU - Frings, Jannik
AU - Krause, Matthias
AU - Hartel, Maximilian
AU - Frosch, Karl Heinz
N1 - © 2019 by the Arthroscopy Association of North America. Published by Elsevier.
PY - 2019/9
Y1 - 2019/9
N2 - Injuries to the posterolateral corner (PLC) often result in lateral, rotational, and dorsal instability, which need appropriate and differentiated treatment. Besides posterior cruciate ligament reconstruction for posterior instability, the technique according to LaPrade et al. efficiently stabilizes posterolateral rotational and lateral instability as described in Fanelli type B or C injuries. This technique has been exclusively used as an open procedure. In this article, we present an all-arthroscopic technique for the posterolateral stabilization procedure. To achieve this, 5 different arthroscopic portals are needed. The PLC is visualized by a trans-septal approach. Directly posterior to the popliteal tendon, arthroscopic preparation is started and the medial part of the fibular head is exposed. Two anatomic drill channels are placed in the lateral femoral condyle, with one tibial channel in the distal third of the sulcus popliteus and one channel in the fibular head. The popliteal tendon, popliteofibular ligament, and lateral collateral ligament are reconstructed with autologous hamstring tendons. The advantages of an all-arthroscopic anatomic PLC reconstruction are the protection of the soft tissues and the precise anatomic tunnel placement under direct visualization. The described procedure is a safe and anatomic method for posterolateral stabilization.
AB - Injuries to the posterolateral corner (PLC) often result in lateral, rotational, and dorsal instability, which need appropriate and differentiated treatment. Besides posterior cruciate ligament reconstruction for posterior instability, the technique according to LaPrade et al. efficiently stabilizes posterolateral rotational and lateral instability as described in Fanelli type B or C injuries. This technique has been exclusively used as an open procedure. In this article, we present an all-arthroscopic technique for the posterolateral stabilization procedure. To achieve this, 5 different arthroscopic portals are needed. The PLC is visualized by a trans-septal approach. Directly posterior to the popliteal tendon, arthroscopic preparation is started and the medial part of the fibular head is exposed. Two anatomic drill channels are placed in the lateral femoral condyle, with one tibial channel in the distal third of the sulcus popliteus and one channel in the fibular head. The popliteal tendon, popliteofibular ligament, and lateral collateral ligament are reconstructed with autologous hamstring tendons. The advantages of an all-arthroscopic anatomic PLC reconstruction are the protection of the soft tissues and the precise anatomic tunnel placement under direct visualization. The described procedure is a safe and anatomic method for posterolateral stabilization.
U2 - 10.1016/j.eats.2019.05.010
DO - 10.1016/j.eats.2019.05.010
M3 - SCORING: Journal article
C2 - 31687332
VL - 8
SP - e999-e1006
JO - ARTHROSC TEC
JF - ARTHROSC TEC
SN - 2212-6287
IS - 9
ER -
