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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2015

01-10-2015 | Knee

Anatomical popliteofibular ligament reconstruction of the knee joints: an all-arthroscopic technique

Authors: Guan-yang Song, Hui Zhang, Jin Zhang, Yue Li, Hua Feng

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2015

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Abstract

Injuries to the posterolateral corner of the knee present with variable injury patterns that have produced a number of reconstructive procedures in the literature. The present paper describes an all-arthroscopic technique that anatomically reconstructs the popliteofibular ligament (PFL) using either a semitendinosus autograft or an anterior tibialis allograft. During the surgery, the fibular insertion site as well as the distal portion of PFL is feasible to be identified under arthroscopy without any additional skin incision.
Level of evidence V.
Literature
1.
go back to reference Ahn JH, Ha CW (2000) Posterior trans-septal portal for arthroscopic surgery of the knee joint. Arthroscopy 16(7):774–779CrossRefPubMed Ahn JH, Ha CW (2000) Posterior trans-septal portal for arthroscopic surgery of the knee joint. Arthroscopy 16(7):774–779CrossRefPubMed
2.
go back to reference Apsingi S, Nguyen T, Bull AM, Unwin A, Deehan DJ, Amis AA (2009) A comparison of modified Larson and ‘anatomic’ posterolateral corner reconstructions in knees with combined PCL and posterolateral corner deficiency. Knee Surg Sports Traumatol Arthrosc 17(3):305–312CrossRefPubMed Apsingi S, Nguyen T, Bull AM, Unwin A, Deehan DJ, Amis AA (2009) A comparison of modified Larson and ‘anatomic’ posterolateral corner reconstructions in knees with combined PCL and posterolateral corner deficiency. Knee Surg Sports Traumatol Arthrosc 17(3):305–312CrossRefPubMed
3.
go back to reference Feng H, Hong L, Geng XS, Zhang H, Wang XS, Zhang J (2009) Posterolateral sling reconstruction of the popliteus tendon: an all-arthroscopic technique. Arthroscopy 25(7):800–805CrossRefPubMed Feng H, Hong L, Geng XS, Zhang H, Wang XS, Zhang J (2009) Posterolateral sling reconstruction of the popliteus tendon: an all-arthroscopic technique. Arthroscopy 25(7):800–805CrossRefPubMed
4.
go back to reference Feng H, Song GY, Shen JW, Zhang H, Wang MY (2014) The “lateral gutter drive-through” sign revisited: a cadaveric study exploring its real mechanism based on the individual posterolateral structure of knee joints. Arch Orthop Trauma Surg 134(12):1745–1751CrossRefPubMed Feng H, Song GY, Shen JW, Zhang H, Wang MY (2014) The “lateral gutter drive-through” sign revisited: a cadaveric study exploring its real mechanism based on the individual posterolateral structure of knee joints. Arch Orthop Trauma Surg 134(12):1745–1751CrossRefPubMed
5.
go back to reference Feng H, Zhang H, Hong L, Wang XS, Cheng KB, Zhang J (2011) Femoral peel-off lesions in acute posterolateral corner injuries: incidence, classification, and clinical characteristics. Arthroscopy 27(7):951–958CrossRefPubMed Feng H, Zhang H, Hong L, Wang XS, Cheng KB, Zhang J (2011) Femoral peel-off lesions in acute posterolateral corner injuries: incidence, classification, and clinical characteristics. Arthroscopy 27(7):951–958CrossRefPubMed
6.
go back to reference Feng H, Zhang H, Hong L, Wang XS, Zhang J (2009) The “lateral gutter drive-through” sign: an arthroscopic indicator of acute femoral avulsion of the popliteus tendon in knee joints. Arthroscopy 25(12):1496–1499CrossRefPubMed Feng H, Zhang H, Hong L, Wang XS, Zhang J (2009) The “lateral gutter drive-through” sign: an arthroscopic indicator of acute femoral avulsion of the popliteus tendon in knee joints. Arthroscopy 25(12):1496–1499CrossRefPubMed
7.
go back to reference Frosch KH, Akoto R, Maximilian H, Enderle E, Giannakos A, Preiss A (2014) Arthroscopic reconstruction of the popliteus complex: accuracy and reproducibility of a new surgical technique. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3000-y Frosch KH, Akoto R, Maximilian H, Enderle E, Giannakos A, Preiss A (2014) Arthroscopic reconstruction of the popliteus complex: accuracy and reproducibility of a new surgical technique. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-014-3000-y
8.
go back to reference LaPrade RF, Johansen S, Wentorf FA, Engebretsen L, Esterberg JL, Tso A (2004) An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med 32(6):1405–1414CrossRefPubMed LaPrade RF, Johansen S, Wentorf FA, Engebretsen L, Esterberg JL, Tso A (2004) An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med 32(6):1405–1414CrossRefPubMed
9.
go back to reference McCarthy M, Camarda L, Wijdicks CA, Johansen S, Engebretsen L, Laprade RF (2010) Anatomic posterolateral knee reconstructions require a popliteofibular ligament reconstruction through a tibial tunnel. Am J Sports Med 38(8):1674–1681CrossRefPubMed McCarthy M, Camarda L, Wijdicks CA, Johansen S, Engebretsen L, Laprade RF (2010) Anatomic posterolateral knee reconstructions require a popliteofibular ligament reconstruction through a tibial tunnel. Am J Sports Med 38(8):1674–1681CrossRefPubMed
10.
go back to reference Pasque C, Noyes FR, Gibbons M, Levy M, Grood E (2003) The role of the popliteofibular ligament and the tendon of popliteus in providing stability in the human knee. J Bone Joint Surg Br 85:292–298CrossRefPubMed Pasque C, Noyes FR, Gibbons M, Levy M, Grood E (2003) The role of the popliteofibular ligament and the tendon of popliteus in providing stability in the human knee. J Bone Joint Surg Br 85:292–298CrossRefPubMed
11.
go back to reference Thaunat M, Pioger C, Chatellard R, Conteduca J, Khaleel A, Sonnery-Cottet B (2014) The arcuate ligament revisited: role of the posterolateral structures in providing static stability in the knee joint. Knee Surg Sports Traumatol Arthrosc 22(9):2121–2127CrossRefPubMed Thaunat M, Pioger C, Chatellard R, Conteduca J, Khaleel A, Sonnery-Cottet B (2014) The arcuate ligament revisited: role of the posterolateral structures in providing static stability in the knee joint. Knee Surg Sports Traumatol Arthrosc 22(9):2121–2127CrossRefPubMed
12.
go back to reference van der Wal WA, Heesterbeek PJ, van Tienen TG, Busch VJ, van Ochten JH, Wymenga AB (2014) Anatomical reconstruction of posterolateral corner and combined injuries of the knee. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3369-7 van der Wal WA, Heesterbeek PJ, van Tienen TG, Busch VJ, van Ochten JH, Wymenga AB (2014) Anatomical reconstruction of posterolateral corner and combined injuries of the knee. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-014-3369-7
13.
go back to reference Zhang H, Feng H, Hong L, Wang XS, Zhang J (2009) Popliteofibular ligament reconstruction for posterolateral external rotation instability of the knee. Knee Surg Sports Traumatol Arthrosc 17(9):1070–1077CrossRefPubMed Zhang H, Feng H, Hong L, Wang XS, Zhang J (2009) Popliteofibular ligament reconstruction for posterolateral external rotation instability of the knee. Knee Surg Sports Traumatol Arthrosc 17(9):1070–1077CrossRefPubMed
14.
go back to reference Zhang H, Hong L, Wang XS, Zhang J, Geng XS, Liu X, Feng H (2010) Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: clinical results of minimum 2-year follow-up. Arthroscopy 26(4):508–514CrossRefPubMed Zhang H, Hong L, Wang XS, Zhang J, Geng XS, Liu X, Feng H (2010) Single-bundle posterior cruciate ligament reconstruction and mini-open popliteofibular ligament reconstruction in knees with severe posterior and posterolateral rotation instability: clinical results of minimum 2-year follow-up. Arthroscopy 26(4):508–514CrossRefPubMed
15.
go back to reference Zhang H, Hong L, Wang XS, Zhang J, Liu X, Feng H (2011) All-arthroscopic repair of arcuate avulsion fracture with suture anchor. Arthroscopy 27(5):728–734CrossRefPubMed Zhang H, Hong L, Wang XS, Zhang J, Liu X, Feng H (2011) All-arthroscopic repair of arcuate avulsion fracture with suture anchor. Arthroscopy 27(5):728–734CrossRefPubMed
16.
go back to reference Zhang H, Zhang J, Liu X, Shen JW, Hong L, Wang XS, Feng H (2013) In vitro comparison of popliteus tendon and popliteofibular ligament reconstruction in an external rotation injury model of the knee: a cadaveric study evaluated by a navigation system. Am J Sports Med 41(9):2136–2142CrossRefPubMed Zhang H, Zhang J, Liu X, Shen JW, Hong L, Wang XS, Feng H (2013) In vitro comparison of popliteus tendon and popliteofibular ligament reconstruction in an external rotation injury model of the knee: a cadaveric study evaluated by a navigation system. Am J Sports Med 41(9):2136–2142CrossRefPubMed
Metadata
Title
Anatomical popliteofibular ligament reconstruction of the knee joints: an all-arthroscopic technique
Authors
Guan-yang Song
Hui Zhang
Jin Zhang
Yue Li
Hua Feng
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3531-x

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