Anatomic Posterolateral Corner Reconstruction Using Single Graft Plus Adjustable-Loop Suspensory Fixation Device

• Published in: Arthroscopy techniques (Amsterdam) Vol. 8; no. 3; pp. e301 - e309
• Main Authors: Wood, Ryan, B.M.B.Ch., M.A., F.R.C.S. (Tr.&Orth.), Robinson, James, M.B.B.S., M.R.C.S., F.R.C.S. (Tr.&Orth.), M.S, Getgood, Alan, M.Phil., M.D., F.R.C.S. (Tr.&Orth.), Dip.S.E.M
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier 01.03.2019
• Subjects: Orthopedics; Technical Note
• ISSN: 2212-6287; 2212-6287
• DOI: 10.1016/j.eats.2018.11.011

Abstract The original description of the LaPrade technique for anatomic posterolateral corner reconstruction addresses the 3 main stabilizing structures: the fibular collateral ligament, the popliteus, and the popliteofibular ligament. The use of two separate grafts (originally described with a tendo-Achilles allograft) may restrict the utility of the technique when sources of allograft may be limited and autografts must be used, particularly in the context of multiligament reconstruction. We present a modification of the technique, in which an adjustable cortical button is used for tibial fixation, which allows for the use of a single graft while maintaining the ability to independently tension the popliteus, popliteofibular ligament, and fibular collateral ligament limbs of the graft.