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Archives of Orthopaedic and Traumatic Surgery
Article . 2020 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Other literature type . 2020
Data sources: PubMed Central
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Posterolateral corner of the knee: a systematic literature review of current concepts of arthroscopic reconstruction

Authors: Sebastian Weiss; Matthias Krause; Karl-Heinz Frosch;

Posterolateral corner of the knee: a systematic literature review of current concepts of arthroscopic reconstruction

Abstract

Abstract Introduction Injuries of the posterolateral corner (PLC) of the knee lead to chronic lateral and external rotational instability and are often associated with PCL injuries. Numerous surgical techniques for repair and reconstruction of the PLC are established. Recently, several arthroscopic techniques have been published in order to address different degrees of PLC injuries through reconstruction of one or more functional structures. The purpose of this systematic review is to give an overview about arthroscopic techniques of posterolateral corner reconstructions and to evaluate their safeness. Materials and methods A systematic review of the literature on arthroscopic reconstructions of the posterolateral corner of the knee according to the PRISMA guidelines was performed using PubMed MEDLINE and Web of Science Databases on June 15th, 2020. Inclusion criteria were descriptions of surgical techniques to reconstruct different aspects of the posterolateral corner either strictly arthroscopically or minimally-invasive with an arthroscopic assistance. Results Arthroscopic techniques differ with regard to the extent of reconstructed units (popliteus tendon, popliteofibular ligament, lateral collateral ligament), surgical approach (transseptal, lateral) and biomechanical results (anatomic vs. non-anatomic reconstruction, restoration of rotational instability and/or lateral instability). Conclusion Different approaches to arthroscopic PLC reconstruction are presented, yet clinical results are scarce. Up to now good and excellent clinical results are reported. No major complications are reported in the literature so far.

Keywords

Joint Instability, Knee Joint, Knee Injuries, Plastic Surgery Procedures, Arthroscopy/methods [MeSH] ; Posterolateral corner ; Humans [MeSH] ; Knee Joint/surgery [MeSH] ; Ligaments, Articular/injuries [MeSH] ; Knee Injuries/complications [MeSH] ; Knee Joint/physiopathology [MeSH] ; Lateral collateral ligament ; Arthroscopy and Sports Medicine ; Knee ; Ligaments, Articular/surgery [MeSH] ; Posterior Cruciate Ligament/surgery [MeSH] ; Reconstructive Surgical Procedures/methods [MeSH] ; Joint Instability/surgery [MeSH] ; Reconstruction ; Popliteus ; Joint Instability/etiology [MeSH] ; Arthroscopy, Arthroscopy, Arthroscopy and Sports Medicine, Ligaments, Articular, Humans, Posterior Cruciate Ligament

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
32
Top 10%
Top 10%
Top 10%
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