Posterolateral corner reconstruction.
One should suspect a compromise of the lateral structures when presented with a posterior cruciate ligament (PCL) injury, especially if grade III laxity is present. In our experience, if a combined injury to the PCL and posterolateral corner is diagnosed, a combined PCL and posterolateral reconstruction is needed to restore stability. This article describes a posterolateral reconstruction procedure. This procedure, when used in combination with an intra-articular PCL reconstruction, restores rotary and posterior knee stability. This procedure uses allograft tissue and interference screw fixation, although autograft tissue may be used.
McGuire
David A
DA
Clinical Faculty, Orthopedics and Sports Medicine, University of Washington, Seattle, Washington, USA.
Wolchok
Jeffrey C
JC
D001863:Bone Screws; D001915:Braces; D003131:Combined Modality Therapy; D006801:Humans; D007593:Joint Instability / Q000534:rehabilitation / Q000601:surgery* / Q000628:therapy; D007718:Knee Injuries / Q000534:rehabilitation / Q000601:surgery*; D015915:Motion Therapy, Continuous Passive; D016119:Posterior Cruciate Ligament / Q000293:injuries / Q000601:surgery*; D012720:Severity of Illness Index; D013536:Suture Techniques; D013708:Tendon Injuries; D013710:Tendons / Q000637:transplantation; D014184:Transplantation, Homologous