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Published in: Archives of Orthopaedic and Trauma Surgery 3/2009

01-03-2009 | Arthroscopy and Sports Medicine

Posterolateral corner anatomy and its anatomical reconstruction with single fibula and double femoral sling method: anatomical study and surgical technique

Authors: Jin Goo Kim, Jeong Gu Ha, Yong Seuk Lee, Sang Jin Yang, Jae Eun Jung, Soo Jin Oh

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2009

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Abstract

This paper reports a novel method for reconstructing the posterolateral structures [lateral collateral ligament (LCL), popliteus tendon, popliteofibular ligament] based on an anatomical study of a cadaveric dissection. The popliteus tendon was found to always be attached to the anterior–inferior portion of the femoral attachment site of the LCL, and the average distance from the origin of the popliteal tendon in the femoral side to that of the LCL was 18.5 mm (17–20). The insertion site of the LCL in the fibular side was located anterior–inferior-superficially and the popliteofibular ligament was inserted into the posterior–superior-deep portion around the styloid process. Two femoral tunnels and one fibular head tunnel were made at the proximal and distal portion of the anatomical insertion sites.
Literature
1.
go back to reference Albright JP, Brown AW (1998) Management of chronic posterolateral rotatory instability of the knee: surgical technique for the posterolateral corner sling procedure. Instr Course Lect 47:369–378PubMed Albright JP, Brown AW (1998) Management of chronic posterolateral rotatory instability of the knee: surgical technique for the posterolateral corner sling procedure. Instr Course Lect 47:369–378PubMed
2.
go back to reference Amis AA, Bull AM, Gupte CM, Hijazi I, Race A, Robinson JR (2003) Biomechanics of the PCL and related structures: posterolateral, posteromedial and meniscofemoral ligaments. Knee Surg Sports Traumatol Arthrosc 11:271–281. doi:10.1007/s00167-003-0410-7 PubMedCrossRef Amis AA, Bull AM, Gupte CM, Hijazi I, Race A, Robinson JR (2003) Biomechanics of the PCL and related structures: posterolateral, posteromedial and meniscofemoral ligaments. Knee Surg Sports Traumatol Arthrosc 11:271–281. doi:10.​1007/​s00167-003-0410-7 PubMedCrossRef
3.
go back to reference Baker CL Jr, Norwood LA, Hughston JC (1983) Acute posterolateral rotatory instability of the knee. J Bone Joint Surg Am 65:614–618PubMed Baker CL Jr, Norwood LA, Hughston JC (1983) Acute posterolateral rotatory instability of the knee. J Bone Joint Surg Am 65:614–618PubMed
5.
7.
go back to reference Fanelli GC, Larson RV (2002) Practical management of posterolateral instability of the knee. Arthroscopy 18:1–8PubMed Fanelli GC, Larson RV (2002) Practical management of posterolateral instability of the knee. Arthroscopy 18:1–8PubMed
10.
go back to reference Harner CD, Vogrin TM, Hoher J, Ma CB, Woo SL (2000) Biomechanical analysis of a posterior cruciate ligament reconstruction. Deficiency of the posterolateral structures as a cause of graft failure. Am J Sports Med 28:32–39PubMed Harner CD, Vogrin TM, Hoher J, Ma CB, Woo SL (2000) Biomechanical analysis of a posterior cruciate ligament reconstruction. Deficiency of the posterolateral structures as a cause of graft failure. Am J Sports Med 28:32–39PubMed
11.
go back to reference Jung YB, Jung HJ, Kim SJ, Park SJ, Song KS, Lee YS et al (2008) Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries: comparison between fibular tunnel and tibial tunnel techniques. Knee Surg Sports Traumatol Arthrosc 16:239–248. doi:10.1007/s00167-007-0481-y PubMedCrossRef Jung YB, Jung HJ, Kim SJ, Park SJ, Song KS, Lee YS et al (2008) Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries: comparison between fibular tunnel and tibial tunnel techniques. Knee Surg Sports Traumatol Arthrosc 16:239–248. doi:10.​1007/​s00167-007-0481-y PubMedCrossRef
13.
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 32:1405–1414. doi:10.1177/0363546503262687 PubMedCrossRef 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 32:1405–1414. doi:10.​1177/​0363546503262687​ PubMedCrossRef
14.
go back to reference LaPrade RF, Ly TV, Wentorf FA, Engebretsen L (2003) The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med 31:854–860PubMed LaPrade RF, Ly TV, Wentorf FA, Engebretsen L (2003) The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med 31:854–860PubMed
17.
go back to reference Markolf KL, Graves BR, Sigward SM, Jackson SR, McAllister DR (2007) Popliteus bypass and popliteofibular ligament reconstructions reduce posterior tibial translations and forces in a posterior cruciate ligament graft. Arthroscopy 23:482–487. doi:10.1016/j.arthro.2006.12.023 PubMed Markolf KL, Graves BR, Sigward SM, Jackson SR, McAllister DR (2007) Popliteus bypass and popliteofibular ligament reconstructions reduce posterior tibial translations and forces in a posterior cruciate ligament graft. Arthroscopy 23:482–487. doi:10.​1016/​j.​arthro.​2006.​12.​023 PubMed
23.
go back to reference Veltri DM, Warren RF (1995) Posterolateral instability of the knee. Instr Course Lect 44:441–453PubMed Veltri DM, Warren RF (1995) Posterolateral instability of the knee. Instr Course Lect 44:441–453PubMed
Metadata
Title
Posterolateral corner anatomy and its anatomical reconstruction with single fibula and double femoral sling method: anatomical study and surgical technique
Authors
Jin Goo Kim
Jeong Gu Ha
Yong Seuk Lee
Sang Jin Yang
Jae Eun Jung
Soo Jin Oh
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 3/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0722-7

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