Abstract
There are many etiologies for failed ACL reconstruction. Failure to recognize and address a posterolateral corner injury may be a predisposing factor. A correct diagnosis requires an accurate history as well as an appreciation of the subtleties of a complete knee examination. If revision surgery is indicated, we prefer an anatomic technique utilizing an Achilles tendon allograft reconstruction of the fibular collateral ligament and posterolateral corner.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
LaPrade RF, Ly TV, Wentorf FA, Engebretsen L. The posterolateral attachments of the knee. Am J Sports Med. 2003;31:854–60.
Maynard MJ, Deng XH, Wickiewicz TL, et al. The popliteofibular ligament: rediscovery of a key element in posterolateral stability. Am J Sports Med. 1996;24:311–6.
Goollehon DL, Torzilli PA, Warren RF. The role of the posterolateral and cruciate ligaments in the stability of the human knee: a biomechanical study. J Bone Joint Surg Am. 1987;69:233–42.
Brinkman JM, Schwering PJ, Blankevoort L, Kooloos JG, Luites J, Wymenga AB. The insertion geometry of the posterolateral corner of the knee. J Bone Joint Surg Br. 2005;87:1364–8.
Noyes FR, Barber SD, Simon R. High tibial osteotomy and ligament reconstruction in varus angulated, anterior cruciate ligament-deficient knees. A two-to seven-year follow-up study. Am J Sports Med. 1993;21:2–12.
Marx RG, Shindle MK, Warren RF. Management of posterior cruciate ligament injuries. Oper Tech Sports Med. 2009;17:162–6.
LaPrade RF, Heikes C, Bakker AJ, et al. The reproducibility and repeatability of varus stress radiographs in the assessment of isolated fibular collateral ligament and grade-III posterolateral knee injuries. An in vitro biomechanical study. J Bone Joint Surg Am. 2008;90:2069–76.
Hughston JC, Andrews JR, Cross MJ, Moschi A. Classification of knee ligament stabilities: the medial compartment and cruciate ligaments. J Bone Joint Surg Am. 1976;58:159–72.
Fanelli GC, Feldmann DD. Management of combined anterior cruciate ligaement/posterior cruciate ligament/posterolateral complex injuries of the knee. Oper Tech Sports Med. 1999;7:143–9.
Levy BA, Boyd JL, Stuart MJ. Surgical treatment of acute and chornic anterior and posterior cruciate ligament and lateral side injuries of the knee. Sports Med Arthrosc Rev. 2011;19:110–9.
Stannard JP, Brown SL, Farris RC, et al. The posterolateral corner of the knee: repair versus reconstruction. Am J Sports Med. 2010;38:804–9.
Levy BA, Dajani KA, Whelan DB, et al. Decision making in the multiligament-injured knee: an evidence-based systematic review. Arthroscopy. 2009;25:430–8.
LaPrade RF, Johansen S, Wentorf FA, et al. An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med. 2004;32: 1405–14.
Schechinger SJ, Levy BA, Dajani KA, Shah JP, Herrera DA, Marx RG. Achilles tendon allograft reconstruction of the fibular collateral ligament and posterolateral corner. Arthroscopy. 2009;25(3):232–42.
Fanelli GC. Surgical treatment of lateral posterolateral instability of the knee using biceps tendon procedures. Sports Med Arthrosc. 2006;14:37–43.
Arciero RA. Anatomic posterolateral corner knee reconstruction. Arthroscopy. 2005;21:1147.e1–5.
Fanelli GC. Posterior cruciate ligament rehabilitation: how slow should we go? Arthroscopy. 2008;24: 234–5.
Fanelli GC, Larson RV. Practical management of posterolateral instability of the knee. Arthroscopy. 2002;18:1–8.
Fanelli GC, Stannard JP, Stuart MJ, et al. Management of complex knee ligament injuries. J Bone Joint Surg Am. 2010;92:2235–46.
LaPrade RF, Johansen S, Agel J, et al. Outcomes of an anatomic posterolateral knee reconstruction. J Bone Joint Surg Am. 2010;92:16–22.
Arthur A, LaPrade RF, Agel J. Proximal tibial opening wedge osteotomy as the initial treatment for chronic posterolateral corner deficiency in the varus knee; a prospective clinical study. Am J Sports Med. 2007;35:1844–50.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Shindle, M.K., Levy, B.A., Clatworthy, M., Marx, R.G. (2014). Posterolateral Corner Deficiency in Revision ACL Reconstruction. In: Marx, R. (eds) Revision ACL Reconstruction. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0766-9_20
Download citation
DOI: https://doi.org/10.1007/978-1-4614-0766-9_20
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-0765-2
Online ISBN: 978-1-4614-0766-9
eBook Packages: MedicineMedicine (R0)