Surgical treatment of chronic posterolateral rotatory instability of the knee using capsular procedures.
Chronic posterolateral rotatory instability of the knee was introduced as a diagnostic classification by Hughston and associates in the early 1970s and occurs as a result of dysfunctional healing of a strained arcuate complex, causing a patulous posterolateral capsuloligamentous complex to exist. This capsular redundancy allows varying degrees of recurvatum and adduction instability during single-limb stance. Eradication of the redundant pouch with a capsular shift-type reconstruction has been shown to eliminate the instability and hold up under long-term follow-up studies. Understanding the complex normal and injured anatomy of the posterolateral corner of the knee is essential for effective reconstruction of this instability.
Flandry
Fred
F
The Hughston Clinic, PC, 6242 Veterans Parkway, PO Box 9517, Columbus, GA 31909, USA. fcflandry@hughston.com
Sinco
Stefan M
SM
D002908:Chronic Disease; D006801:Humans; D017746:Joint Capsule / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery*; D007717:Knee / Q000033:anatomy & histology; D007718:Knee Injuries / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D012399:Rotation