A New Anatomical Reconstruction of the Posterolateral Corner of the Knee

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Journal of Orthopaedics and Trauma recently published an article on A New Anatomical Reconstruction of the Posterolateral Corner of the Knee. The article is about reconstruction of posterolateral corner of the knee which was submitted by the Simon M. Thompson who is working in who is working Chelsea and Westminster NHS Trust in London.

This study deals with the reconstruction of the posterolateral corner (PLC) of the knee remains controversial. Anatomical reconstruction is a key aspect of modern approaches. The work of previous authors recommend repair of the PLC of the knee using the “LaPrade” technique. We suggest that this reconstitution may not address the whole issue of PLC instability and fails to reconstruct the popliteofibular ligament. The popliteofibular ligament has been demonstrated to be of vital importance, providing the main restraint to rotational instability. We suggest a modification to this technique that results in a more anatomical and dynamic reconstruction of the popliteofibular ligament component of the PLC of the knee.

Reconstruction of the posterolateral corner (PLC) of the knee remains controversial. Anatomical reconstruction is a key aspect of modern approaches. The work of previous authors recommend repair of the PLC of the knee using the “LaPrade” technique, a modification of the Warren technique. We suggest that this reconstitution may not address the whole issue of PLC instability and fails to reconstruct the popliteofibular ligament. The popliteofibular ligament has been demonstrated to be of vital importance, providing the main restraint to rotational instability. We suggest a technique that results in an anatomical and dynamic reconstruction of the popliteofibular ligament component of the PLC of the knee.

Injury to the PLC of the knee is becoming a more frequently diagnosed problem. The literature would tend to suggest that the best outcome for multiple injured knees is for surgical repair of all ligaments in a timely fashion in the acute stage. Repair of the popliteofibular ligament is important especially in restoring the moment arm avoiding rotational instability, and it should be reconstructed along with the lateral collateral ligament and popliteotibial ligament. The proposed modification of the traditional LaPrade technique results in a more anatomical and dynamic reconstruction of the popliteofibular ligament with good clinical outcome.

Regards,

ALPINE

Managing Editor

Journal of Orthopaedics and Trauma

Whatsapp:+1-947-333-4405