Effect of modified Laprade technique on posterolateral ligament injury of knee

Abstract

Purpose To investigate the effect of modified Laprade technique on the reconstruction of posterolateral structure of knee and anterolateral ligament of knee in the treatment of posterolateral injury of knee. Methods From December 2013 to June 2020, multiple ligament injury patients who received surgery in our hospital were collected in this research. These patients underwent a modified Laprade technique for posterolateral structural reconstruction of the knee. Lysholm scores of patients pre- and post-operation were recorded. Result The operations of the observation group or the control group patients were completed. There were no significant differences in gender, age, preoperative knee range of motion and preoperative Lysholm score. At the time of follow-up 1 month after operation, there was no significant difference in knee range of motion, dial-up test angle and Lysholm score between the observation and the control group. When followed up 1 year after operation, the Lysholm score of the observation group was higher than that of the control group. The difference was statistically significant. The same situation occurred in the range of motion of the knee in both groups. However, there was still no significant difference between the two groups in the dial-up test 1 year after operation, whether the knee flexion was 30° or 90°. Conclusion For patients with posterolateral structure injury of knee, the modified Laprade technique is a feasible surgical technique.

Posterolateral Rotational Knee Instability: Evolution and Current Trends in Surgical Treatment

“…В настоящее время нет единого мнения о том, какая методика оперативного лечения пациентов с данной патологией является наиболее рациональной и достаточной для получения хорошей стабильности коленного сустава. Существует достаточно четкое понимание объема оперативного вмешательства у пациентов с повреждениями 1-го типа (пластика ЗКС без пластики ЗЛУ) [22] и 3-4-го типов (различные модификации пластики типа Larson или LaPrade) [39,40,41,51,52,53,54]. При этом тактика и объем вмешательства при повреждениях 2-го типа неоднозначны и вызывают большое количество дискуссий.…”

“…Техника LaPrade и ее модификации на сегодняшний день получили большое распространение. Ее эффективность доказана в отдаленных результатах многими авторами [5,40,41,52,53,54].…”