title: Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty.
abstract: Posterolateral rotatory instability is a relatively uncommon cause of unstable total knee arthroplasty (TKA). In most cases, surgical treatment requires revision TKA into a more constrained design or thicker polyethylene liner. We present a case of a patient with unstable TKA who remained unstable after increasing thickness of the polyethylene liner and undergoing more constrained TKA. After several revision surgeries, the patient was still unstable. Posterolateral corner reconstruction with a fibular-based technique using a tibialis anterior allograft was performed. At 1-year follow-up, the patient was stable and asymptomatic and with excellent function. A soft-tissue procedure only (fibular-based posterolateral corner reconstruction) can be effective at restoring posterolateral rotatory stability in a patient with persistent instability after revision TKA.
authors.affiliation: University of North Carolina School of Medicine, 321 S. Columbia Street, Chapel Hill, NC 27516, USA.
authors.forename: Joseph T
authors.initials: JT
authors.lastname: Cline
authors.affiliation: Duke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USA.
authors.forename: Eduard
authors.initials: E
authors.lastname: Alentorn-Geli
authors.affiliation: Duke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USA.
authors.forename: J H James
authors.initials: JH
authors.lastname: Choi
authors.affiliation: Duke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USA.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Stuart
authors.affiliation: Duke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USA.
authors.forename: Terry
authors.initials: T
authors.lastname: Kruger
authors.affiliation: Duke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USA.
authors.forename: Claude T
authors.initials: CT
authors.lastname: Moorman Iii