Posterolateral Corner Reconstruction of the Knee Using Gracilis Autograft and Biceps Femoris

Senevirathna, Shanaka; Stragier, Bruno; Geutjens, Guido

doi:10.1016/j.eats.2021.12.030

Cited by 6 publications

(6 citation statements)

References 71 publications

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“…Various types of grafts have been reported to be used for the reconstruction of the lateral collateral ligament of the knee, including gracilis and biceps femoris grafts ( 5 ), semitendinosus grafts ( 6 ), quadriceps tendon-patellar bone autografts ( 7 ), and bone-tendon-bone grafts ( 1 ). These tendons were advantageous for the reconstruction of collateral knee ligaments due to their biomechanical strength.…”

Section: Discussionmentioning

confidence: 99%

“…These tendons were advantageous for the reconstruction of collateral knee ligaments due to their biomechanical strength. The disadvantages of harvesting the above-mentioned tendons wee not well-described ( 1 , 5-7 ). However, the disadvantage of harvesting major tendons may be the potential risk of causing functional impairments.…”

Section: Discussionmentioning

confidence: 99%

“…Insufficiency or injury to the collateral ligament of the knee affects its stability and function (2,4). Reconstruction of the collateral ligaments using various types of grafts has been reported (1,(5)(6)(7). Interestingly, the plantaris tendon has been used for the reconstruction of the anterolateral ligament of the ankle, the medial collateral ligament of the knee, and the Achilles tendon (8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction of the lateral collateral ligament using the plantaris tendon after wide excision of soft tissue sarcoma of the knee: A case report

et al. 2023

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An 83-year-old woman presented with a 1-year history of a growing mass on the lateral surface of the right knee. Magnetic resonance imaging revealed a large soft tissue tumor in the subcutis of the right knee. The mass in the right knee rapidly increased, due to hemorrhage from the tumor. A needle biopsy revealed that the diagnosis was synovial sarcoma. The patient underwent wide excision and lateral collateral ligament reconstruction using the plantaris tendon. The patient had a Musculoskeletal Tumor Society Score of 86% at the lateset follow-up. In conclusion, reconstruction of the lateral collateral ligament using the plantaris tendon may be useful for preserving the function of the knee joint after resection of the soft tissue due to sarcoma of the knee.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reconstruction of the lateral collateral ligament using the plantaris tendon after wide excision of soft tissue sarcoma of the knee: A case report

et al. 2023

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“…However, non‐operative management for grade III PLC injuries have been reported to result in inferior functional outcomes, persistent instability, and the development of early‐onset degenerative changes [12, 26]. As a result, a variety of repair and reconstruction techniques have evolved to restore knee stability [1, 3, 8, 13, 16, 35, 37, 43, 47, 49, 53, 55, 56]. Despite considerable attention in the recent orthopaedic literature, optimal timing of surgery and the ideal surgical treatment option remains controversial for these complex injuries [6].…”

Section: Introductionmentioning

confidence: 99%

Higher success rate observed in reconstruction techniques of acute posterolateral corner knee injuries as compared to repair: an updated systematic review

Fortier,

Knapik,

Condon

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose There remains controversy regarding the optimal surgical treatment for acute complete (grade III) posterolateral corner (PLC) injuries. The purpose of this article is to systematically review the contemporary literature regarding surgical options and subsequent outcomes of acute grade III PLC injuries. Methods A systematic review was performed using the following search terms: posterolateral corner knee, posterolateral knee, posterolateral instability, multi-ligament knee, and knee dislocation. Inclusion criteria consisted of studies with level I-IV evidence, reporting on human patients with acute grade III PLC injuries undergoing operative management within 4 weeks from injury, with subjective and/or objective outcomes (including varus stress examinations or varus stress radiographs) reported at a minimum 2-year follow-up. Two investigators independently performed the search by sequentially screening articles. Accepted definitions of varus stability on examination or stress radiographs and revision surgery were used to determine success and failure of treatment. Results A total of 12 studies, consisting of 288 patients were included. Ten studies reported primary repair, while reconstruction techniques were reported in seven studies. Overall, 43% (n = 125/288) of injuries involved the PLC, ACL and PCL. Staged reconstruction was reported in 25% (n = 3/12) of studies. The Lysholm score was the most commonly reported outcome measure. An overall failure rate of 12.4% (n = 35/282) was observed. Surgical failure was significantly higher in patients undergoing repair (21.9%; n = 21/96) compared to reconstruction (7.1%; n = 6/84) (p = 0.0058). Return to sport was greater in patients undergoing reconstruction (100%; n = 22/22) compared to repair (94%; n = 48/51) (n.s). The most common post-operative complication was arthrofibrosis requiring manipulation under anesthesia (8.7%; n = 25/288). A total of 3.8% (n = 11/288) of patients underwent revision PLC reconstruction. Conclusion There remains substantial heterogeneity in the surgical techniques of acute, grade III PLC injuries with an overall failure rate of 12.4%. Failure rates were significantly lower, and return to sport rates higher in patients undergoing PLC reconstruction compared to repair. The most common postoperative complication was arthrofibrosis requiring manipulation under anesthesia. Level of evidence Level IV.

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“… 1 , 6 Many surgical techniques have been described to treat popliteus tendon injuries, including various debridement, repair, and reconstruction techniques. 7 , 8 , 9 , 10 , 11 This Technical Note will describe an anatomic-based reconstruction technique that has been biomechanically validated 12 to restore stability to a popliteus tendon–deficient knee.…”

mentioning

confidence: 99%

Open Popliteus Tendon Reconstruction Using a Hamstring Tendon Autograft

Rodriguez¹,

Liechti²,

LaPrade³

2023

Arthroscopy Techniques

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Posterolateral Corner Reconstruction of the Knee Using Gracilis Autograft and Biceps Femoris

Cited by 6 publications

References 71 publications

Reconstruction of the lateral collateral ligament using the plantaris tendon after wide excision of soft tissue sarcoma of the knee: A case report

Reconstruction of the lateral collateral ligament using the plantaris tendon after wide excision of soft tissue sarcoma of the knee: A case report

Higher success rate observed in reconstruction techniques of acute posterolateral corner knee injuries as compared to repair: an updated systematic review

Open Popliteus Tendon Reconstruction Using a Hamstring Tendon Autograft

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