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Anatomical reconstruction of popliteofibular ligament using looped biceps femoris tendon: a case report

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

We describe a case of popliteofibular ligament (PFL) injury, successfully treated with a new anatomic reconstruction technique looping the biceps femoris tendon (BT). The anterior half of the BT was split longitudinally from the fibular insertion, cut at the proximal end and left attached at the insertion. The proximal end of the BT was looped back in a slit made in the popliteal tendon (PT) at the original anatomical insertion site of the PFL, and passed through the tunnel from the posterior and the baseball suture was tightened on the anterior cortex of fibular head.

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References

  1. Bullis DW, Paulos LE (1994) Reconstruction of the posterior cruciate ligament with allograft. Clin Sports Med 13:581–597

    PubMed  CAS  Google Scholar 

  2. Gollehon DL, Torzilli PA, Warren RF (1987) The role of the posterolateral and cruciate ligaments in the stability of the human knee. A biomechanical study. J Bone Joint Surg [Am] 69A(2):233–242

    Google Scholar 

  3. Grood ES, Stowers SF, Noyes FR (1988) Limits of movement in the human knee. Effect of sectioning the posterior cruciate ligament and posterolateral structures. J Bone Joint Surg [Am] 70A:88–97

    Google Scholar 

  4. LaPrade RF, Ly TV, Wentorf FA, Engebretsen L (2003) The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon. Am J Sports Med 31:854–860

    PubMed  Google Scholar 

  5. LaPrade RF (2005) Anatomic reconstruction of the posterolateral aspect of the knee. J Knee Surg 18:167–171

    PubMed  Google Scholar 

  6. Maynard MJ, Deng X, Wickiewicz TL, Warren RF (1996) The popliteofibular ligament. Rediscovery of a key element in posterolateral stability. Am J Sports Med 24:311–316

    Article  PubMed  CAS  Google Scholar 

  7. Seebacher JR, Inglis AE, Marshall JL, Warren RF (1982) The structure of the posterolateral aspect of the knee. J Bone Joint Surg [Am] 64A:536–541

    Google Scholar 

  8. Shahane SA, Ibbotson C, Strachan R, Bickerstaff DR (1999) The popliteofibular ligament. An anatomical study of the posterolateral corner of the knee. J Bone Joint Surg [Br] 81B:636–642

    Article  Google Scholar 

  9. Sugita T, Amis AA (2001) Anatomic and biomechanical study of the lateral collateral and popliteofibular ligaments. Am J Sports Med 29:466–472

    PubMed  CAS  Google Scholar 

  10. Terry GC, LaPrade RF (1996) The posterolateral aspect of the knee. Anatomy and surgical approach. Am J Sports Med 24:732–739

    Article  PubMed  CAS  Google Scholar 

  11. Veltri DM, Deng XH, Torzilli PA, Maynard MJ, Warren RF (1996) The role of the popliteofibular ligament in stability of the human knee. A biomechanical study. Am J Sports Med 24:19–27

    Article  PubMed  CAS  Google Scholar 

  12. Watanabe Y, Moriya H, Takahashi K, Yamagata M, Sonoda M, Shimada Y et al (1993) Functional anatomy of the posterolateral structures of the knee. Arthroscopy 9:57–62

    Article  PubMed  CAS  Google Scholar 

  13. Yoon KH, Bae DK, Ha JH, Park SW (2006) Anatomic reconstructive surgery for posterolateral instability of the knee. Arthroscopy 22:159–165

    Article  PubMed  Google Scholar 

  14. Zhao J, He Y, Wang J (2006) Anatomical reconstruction of knee posterolateral complex with the tendon of the long head of biceps femoris. Am J Sports Med 34:1615–1622

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kyoto Kujo Hospital, Karahashi Rajomoncho10, Minamiku, Kyoto, 601-8453, Japan

    Nobuyoshi Watanabe, Nobuyuki Yoshino, Yukihisa Fukuda & Nobuhiko Fujita

  2. Department of Orthopaedic Surgery, Teikyo University, Tokyo, Japan

    Shinro Takai

Authors
  1. Nobuyoshi Watanabe
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  2. Nobuyuki Yoshino
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  3. Yukihisa Fukuda
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  4. Nobuhiko Fujita
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  5. Shinro Takai
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Correspondence to Nobuyoshi Watanabe.

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Watanabe, N., Yoshino, N., Fukuda, Y. et al. Anatomical reconstruction of popliteofibular ligament using looped biceps femoris tendon: a case report. Knee Surg Sports Traumatol Arthr 16, 393–395 (2008). https://doi.org/10.1007/s00167-007-0476-8

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  • DOI: https://doi.org/10.1007/s00167-007-0476-8

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