Fibular head-based posterolateral reconstruction of the knee combined with capsular shift procedure

Posterolateral instability (PLI) is common with posterior cruciate ligament tears, is less common with anterior cruciate ligament tears, and isolated PLI is rare. There are varying degrees of PLI with respect to pathologic external tibial rotation and varus laxity. Surgical treatment of PLI must add...

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Bibliographic Details
Published inSports medicine and arthroscopy review Vol. 23; no. 1; p. 33
Main Authors Fanelli, Gregory C, Fanelli, David G
Format Journal Article
LanguageEnglish
Published United States 01.03.2015
Subjects
Fibula - injuries
Fibula - surgery
Humans
Joint Capsule - injuries
Joint Capsule - surgery
Joint Instability - physiopathology
Joint Instability - surgery
Knee Injuries - physiopathology
Knee Injuries - surgery
Ligaments, Articular - injuries
Ligaments, Articular - surgery
Reconstructive Surgical Procedures - methods
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Summary:Posterolateral instability (PLI) is common with posterior cruciate ligament tears, is less common with anterior cruciate ligament tears, and isolated PLI is rare. There are varying degrees of PLI with respect to pathologic external tibial rotation and varus laxity. Surgical treatment of PLI must address all components of the PLI (popliteus tendon, popliteofibular ligament, lateral collateral ligament, and the lateral-posterolateral capsule), the abnormal planes of motion, as well as other structural injuries. Successful posterior cruciate ligament and anterior cruciate ligament surgery depends upon recognition and treatment of posterolateral corner injuries.
ISSN:1538-1951
DOI:10.1097/JSA.0000000000000042