Injuries of the Posterolateral Corner of the Knee-Diagnosis and Treatment Options for Beginning and Advanced Arthroscopic Surgeons

A. Góralczyk, P. Jancewicz, Krzysztof Hermanowicz
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Abstract

Injuries to the posterolateral corner (PLC) of the knee may have a devastating impact on whole joint. Posterolateral rotatory instability, despite getting more and more popular among orthopedic surgeons, still remains challenging to diagnose and even more challenging to treat. Available surgical techniques are demanding and require advanced surgical skills. In this chapter we are going to review the diagnostic tools which help to recognize posterolateral rotatory instability of the knee, to outline its importance and consequences of misdiagnosis as well as present arthroscopic popliteus tenodesis and arthroscopic-assisted posterolateral corner reconstruction which are our minimally invasive techniques used to treat this condition depending on PLC injury pattern and grading. Presented techniques are reproducible, safe and do not require advanced surgical skills being a useful alternative for available open PLC reconstructions.
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膝关节后外侧角损伤:初级和高级关节镜外科医生的诊断和治疗选择
膝关节后外侧角(PLC)的损伤可能对整个关节产生毁灭性的影响。后外侧旋转不稳,尽管在骨科医生中越来越流行,但诊断和治疗仍然具有挑战性。现有的手术技术要求很高,需要先进的手术技术。在本章中,我们将回顾有助于识别膝关节后外侧旋转不稳定的诊断工具,概述其重要性和误诊的后果,以及目前关节镜下腘肌肌腱固定术和关节镜辅助下的后外侧角重建,这是我们用于治疗这种情况的微创技术,这取决于PLC损伤模式和分级。所提出的技术是可重复的,安全的,并且不需要先进的外科技术,是可用的开放式PLC重建的有用替代方案。
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