Posterolateral corner anatomy and its anatomical reconstruction with single fibula and double femoral sling method: anatomical study and surgical technique.
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.
Kim
Jin Goo
JG
Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University, Seoul, Korea.
Ha
Jeong Gu
JG
Lee
Yong Seuk
YS
Yang
Sang Jin
SJ
Jung
Jae Eun
JE
Oh
Soo Jin
SJ
D000328:Adult; D002102:Cadaver; D017885:Collateral Ligaments / Q000033:anatomy & histology; D004210:Dissection; D005260:Female; D005269:Femur / Q000601:surgery; D005360:Fibula / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D007717:Knee / Q000033:anatomy & histology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D013710:Tendons / Q000033:anatomy & histology