Anatomic Posterolateral Corner Reconstruction With Autografts

Autor: Carlos Eduardo Franciozi, M.D., Ph.D., Leonardo José Bernardes Albertoni, M.D., Guilherme Conforto Gracitelli, M.D., Ph.D., Fernando Cury Rezende, M.D., Ph.D., Luiz Felipe Ambra, M.D., Fábio Pacheco Ferreira, M.D., Marcelo Seiji Kubota, M.D., Sheila Jean McNeil Ingham, M.D., Ph.D., Marcus Vinícius Malheiros Luzo, M.D., Ph.D., Moisés Cohen, M.D., Ph.D., Rene Jorge Abdalla, M.D., Ph.D.
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Arthroscopy Techniques, Vol 7, Iss 2, Pp e89-e95 (2018)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2017.08.053
Popis: Anatomic posterolateral corner reconstruction reproduces 3 main structures: the lateral collateral ligament, the popliteofibular ligament, and the popliteus tendon. The LaPrade technique reproduces all 3 main stabilizers. However, it requires a long graft, limiting its indication to clinical settings in which allograft tissue is available. We propose a surgical procedure that is a modification of the LaPrade technique using the same tunnel placement, hamstring autografts, and biceps augmentation when necessary. It relies on artificial graft lengthening provided by the loop of the suspensory fixation device fixed at the anterior tibial cortex. The final reconstruction reproduces the popliteus tendon with the bulkiest end of the semitendinosus; the popliteofibular ligament with a strand of the semitendinosus and a strand of the gracilis; and the lateral collateral ligament with a strand of the semitendinosus and a strand of the gracilis, which can also be augmented with a biceps strip.
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