Bone and Joint Institute

Title

Anatomic Posterolateral Corner Reconstruction Using Single Graft Plus Adjustable-Loop Suspensory Fixation Device

Document Type

Article

Publication Date

3-1-2019

Journal

Arthroscopy Techniques

Volume

8

Issue

3

First Page

e301

Last Page

e309

URL with Digital Object Identifier

10.1016/j.eats.2018.11.011

Abstract

© 2018 Arthroscopy Association of North America The original description of the LaPrade technique for anatomic posterolateral corner reconstruction addresses the 3 main stabilizing structures: the fibular collateral ligament, the popliteus, and the popliteofibular ligament. The use of two separate grafts (originally described with a tendo-Achilles allograft) may restrict the utility of the technique when sources of allograft may be limited and autografts must be used, particularly in the context of multiligament reconstruction. We present a modification of the technique, in which an adjustable cortical button is used for tibial fixation, which allows for the use of a single graft while maintaining the ability to independently tension the popliteus, popliteofibular ligament, and fibular collateral ligament limbs of the graft.

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