Anatomic Reconstruction of the Posterolateral Corner: An All-Arthroscopic Technique
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Anatomic Reconstruction of the Posterolateral Corner: An All-Arthroscopic Technique. / Frings, Jannik; Kolb, Jan P; Drenck, Tobias C; Krause, Matthias; Alm, Lena; Akoto, Ralph; Frosch, Karl-Heinz.
In: ARTHROSC TEC, Vol. 8, No. 2, 02.2019, p. e153-e161.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Anatomic Reconstruction of the Posterolateral Corner: An All-Arthroscopic Technique
AU - Frings, Jannik
AU - Kolb, Jan P
AU - Drenck, Tobias C
AU - Krause, Matthias
AU - Alm, Lena
AU - Akoto, Ralph
AU - Frosch, Karl-Heinz
PY - 2019/2
Y1 - 2019/2
N2 - Injuries of the posterolateral corner (PLC) of the knee lead to chronic lateral and external rotational instability. Successful treatment of PLC injuries requires an understanding of the complex anatomy and biomechanics of the PLC. Several open PLC reconstruction techniques have been published. It is understood that anatomic reconstruction is superior to extra-anatomic techniques, leading to better clinical results. An open, anatomic, fibula-based technique for reconstruction to address lateral and rotational instability has been described. However, when an open technique is used, surgeon and patient are faced with disadvantages, such as soft tissue damage or exposure of vulnerable structures. Few arthroscopic techniques for tibia- or fibula-based reconstruction of rotational posterolateral instability have been described. A complete arthroscopic stabilization of the combined lateral and posterolateral rotational instability of the knee has not yet been described. We therefore present the first all-arthroscopic technique for complete PLC reconstruction, based on an open technique described previously. All relevant landmarks of the PLC can be arthroscopically visualized in detail, allowing safe and effective treatment of PLC injuries.
AB - Injuries of the posterolateral corner (PLC) of the knee lead to chronic lateral and external rotational instability. Successful treatment of PLC injuries requires an understanding of the complex anatomy and biomechanics of the PLC. Several open PLC reconstruction techniques have been published. It is understood that anatomic reconstruction is superior to extra-anatomic techniques, leading to better clinical results. An open, anatomic, fibula-based technique for reconstruction to address lateral and rotational instability has been described. However, when an open technique is used, surgeon and patient are faced with disadvantages, such as soft tissue damage or exposure of vulnerable structures. Few arthroscopic techniques for tibia- or fibula-based reconstruction of rotational posterolateral instability have been described. A complete arthroscopic stabilization of the combined lateral and posterolateral rotational instability of the knee has not yet been described. We therefore present the first all-arthroscopic technique for complete PLC reconstruction, based on an open technique described previously. All relevant landmarks of the PLC can be arthroscopically visualized in detail, allowing safe and effective treatment of PLC injuries.
KW - Journal Article
U2 - 10.1016/j.eats.2018.10.010
DO - 10.1016/j.eats.2018.10.010
M3 - SCORING: Journal article
C2 - 30899667
VL - 8
SP - e153-e161
JO - ARTHROSC TEC
JF - ARTHROSC TEC
SN - 2212-6287
IS - 2
ER -