Posterolateral corner ligament reconstruction in knee arthroscopy: Complications and complication management

Q2 Medicine Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-05-01 Epub Date: 2025-02-17 DOI:10.1016/j.jcot.2025.102948
Juan Bernardo Villarreal-Espinosa, Monique Haynes, Eric J. Cotter, Rodrigo Saad Berreta, Jourdan M. Cancienne, Nikhil N. Verma, Jorge Chahla
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Abstract

The posterolateral corner (PLC), composed of three static stabilizers including the fibular collateral ligament, popliteus tendon, and popliteofibular ligament, collectively provide posterolateral knee stability (varus and external rotation). Disruption of this complex typically occurs in the setting of concomitant multi-ligament knee injuries (MLKI), typically requiring surgical management for restoration of knee stability. Anatomic surgical reconstructions have been shown to outperform non-anatomic reconstructions or repairs, yet are technically challenging and are not exempt of complications. The present review will address the anatomy and biomechanics of the involved structures, detail the senior author's anatomic three ligament tibiofemoral based reconstruction technique, and provide tips and tricks for avoiding the most frequently associated intraoperative and postoperative complications.
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膝关节镜下后外侧角韧带重建:并发症及并发症处理
后外侧角(PLC)由三个静态稳定器组成,包括腓骨副韧带、腘肌腱和腘-腓骨韧带,共同提供膝关节后外侧稳定性(内翻和外旋)。这种复合体的破坏通常发生在合并多韧带膝关节损伤(MLKI)的情况下,通常需要手术治疗来恢复膝关节的稳定性。解剖外科重建已被证明优于非解剖重建或修复,但在技术上具有挑战性,并不能免除并发症。本综述将讨论相关结构的解剖和生物力学,详细介绍资深作者的解剖三韧带胫股重建技术,并提供避免最常见的术中和术后并发症的提示和技巧。
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来源期刊
Journal of Clinical Orthopaedics and Trauma
Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine
CiteScore
4.30
自引率
0.00%
发文量
181
审稿时长
92 days
期刊介绍: Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.
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