Fibular Head-Based Posterolateral Reconstruction of the Knee: Surgical Technique and Outcomes

Gregory C. Fanelli

doi:10.1055/s-0035-1564594

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg 2015; 28(06): 455-463
DOI: 10.1055/s-0035-1564594

Special Focus Section

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Fibular Head-Based Posterolateral Reconstruction of the Knee: Surgical Technique and Outcomes

Autoren

Gregory C. Fanelli

¹Department of Sports Medicine and Orthopaedics, Geisinger Health System, Danville, Pennsylvania, United States

Abstract

The purpose of this article is to present the author's experience with fibular head-based surgical procedures for the treatment of posterolateral instability of the knee. The surgical techniques presented are the biceps tendon transfer procedures and the fibular head-based figure of eight posterolateral reconstruction using free grafts. Each of these techniques is combined with capsular repair and/or posterolateral capsular shift procedures in all cases. The decision points for surgical technique selection, the surgical technique itself, the postoperative rehabilitation, and the outcomes of these surgical procedures are presented, including a comparison of the biceps tendon procedures with the free graft procedure.

Keywords

posterolateral reconstruction - posterolateral instability - fibular head-based posterolateral reconstruction - classification - allograft - outcomes

Volltext

Referenzen

References
1 Muller W ed. The knee: form, function, and ligamentous reconstruction. New York, NY: Springer-Verlag; 1983
2 Skyhar MJ, Warren RF, Ortiz GJ, Schwartz E, Otis JC. The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee. J Bone Joint Surg Am 1993; 75 (5) 694-699
3 Veltri DM, Warren RF. Posterolateral instability of the knee. J Bone Joint Surg Am 1994; 76-A: 460-472
4 Fanelli GC, Feldman DD. Management of combined anterior cruciate ligament/posterior cruciate ligament/posterolateral complex injuries of the knee. Oper Tech Sports Med 1999; 7 (3) 143-149
5 Bleday RM, Fanelli GC, Giannotti BF, Edson CJ, Barrett TA. Instrumented measurement of the posterolateral corner. Arthroscopy 1998; 14 (5) 489-494
6 Fanelli GC, Giannotti BF, Edson CJ. The posterior cruciate ligament arthroscopic evaluation and treatment. Arthroscopy 1994; 10 (6) 673-688
7 Fanelli GC, Orcutt DR, Edson CJ. The multiple-ligament injured knee: evaluation, treatment, and results. Arthroscopy 2005; 21 (4) 471-486
8 Fanelli GC. Posterior cruciate ligament injuries in trauma patients. Arthroscopy 1993; 9 (3) 291-294
9 Fanelli GC, Edson CJ. Posterior cruciate ligament injuries in trauma patients: part II. Arthroscopy 1995; 11 (5) 526-529
10 Fanelli GC, Fanelli DG. Fibular head-based posterolateral reconstruction of the knee combined with capsular shift procedure. Sports Med Arthrosc Rev 2015; 23 (1) 33-43
11 Fanelli GC. Rationale and Surgical Technique for PCL and Multiple Knee Ligament Reconstruction. 3rd ed. Warsaw, Indiana: Biomet Sports Medicine; 2012
12 Fanelli GC. Surgical treatment of combined PCL ACL medial and lateral side injuries (global laxity): acute and chronic. In: Fanelli GC, Fanelli MD, eds. The Multiple Ligament Injured Knee. A Practical Guide to Management. 2nd ed. New York, NY: Springer-Verlag; 2013: 281-301
13 Fanelli GC. Combined PCL, ACL, posteromedial, and posterolateral reconstruction. In: Fanelli GC, Fanelli MD, eds. Posterior Cruciate Ligament Injuries. A Practical Guide to Management. 2nd ed. New York, NY: Springer; 2015: 173-188
14 Arciero RA. Anatomic posterolateral corner knee reconstruction. Arthroscopy 2005; 21 (9) 1147
15 Bicos J, Arciero RA. Novel approach for reconstruction of the posterolateral corner using a free tendon graft technique. Sports Med Arthrosc Rev 2006; 14 (1) 28-36
16 Shi SY, Ying XZ, Zheng Q, Cao GP. Isometric reconstruction of the posterolateral corner of the knee. Acta Orthop Belg 2009; 75 (4) 504-511
17 Niki Y, Matsumoto H, Otani T, Enomoto H, Toyama Y, Suda Y. A modified Larson's method of posterolateral corner reconstruction of the knee reproducing the physiological tensioning pattern of the lateral collateral and popliteofibular ligaments. Sports Med Arthrosc Rehabil Ther Technol 2012; 4 (1) 21
18 Veltri DM, Warren RF. Operative treatment of posterolateral instability of the knee. Clin Sports Med 1994; 13 (3) 615-627
19 Baker Jr CL, Norwood LA, Hughston JC. Acute combined posterior cruciate and posterolateral instability of the knee. Am J Sports Med 1984; 12 (3) 204-208
20 Yoon KH, Bae DK, Ha JH, Park SW. Anatomic reconstructive surgery for posterolateral instability of the knee. Arthroscopy 2006; 22 (2) 159-165
21 Stannard JP, Brown SL, Farris RC, McGwin Jr G, Volgas DA. The posterolateral corner of the knee: repair versus reconstruction. Am J Sports Med 2005; 33 (6) 881-888
22 Levy BA, Dajani KA, Morgan JA, Shah JP, Dahm DL, Stuart MJ. Repair versus reconstruction of the fibular collateral ligament and posterolateral corner in the multiligament-injured knee. Am J Sports Med 2010; 38 (4) 804-809
23 Fanelli GC. Surgical reconstruction for acute posterolateral injury of the knee. J Knee Surg 2005; 18 (2) 157-162
24 Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction. Arthroscopy 1996; 12 (1) 5-14
25 Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction. Arthroscopy 1996; 12 (5) 521-530
26 Fanelli GC, Edson CJ. Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction in the multiple ligament injured knee: 2- to 10-year follow-up. Arthroscopy 2002; 18 (7) 703-714
27 Fanelli GC, Edson CJ. Combined posterior cruciate ligament-posterolateral reconstructions with Achilles tendon allograft and biceps femoris tendon tenodesis: 2- to 10-year follow-up. Arthroscopy 2004; 20 (4) 339-345
28 Levy BA, Fanelli GC, Whelan DB , et al; Knee Dislocation Study Group. Controversies in the treatment of knee dislocations and multiligament reconstruction. J Am Acad Orthop Surg 2009; 17 (4) 197-206
29 Levy BA, Dajani KA, Whelan DB , et al. Decision making in the multiligament-injured knee: an evidence-based systematic review. Arthroscopy 2009; 25 (4) 430-438
30 Fanelli GC, Stannard JP, Stuart MJ , et al. Management of complex knee ligament injuries. J Bone Joint Surg Am 2010; 92 (12) 2235-2246
31 Fanelli GC. Surgical treatment of lateral posterolateral instability of the knee using biceps tendon procedures. Sports Med Arthrosc Rev 2006; 14 (1) 37-43
32 Fanelli GC, Larson RV. Practical management of posterolateral instability of the knee. Arthroscopy 2002; 18 (2) (Suppl. 01) 1-8
33 Fanelli GC. Surgical treatment of posterolateral instability of the knee with biceps tendon transfer procedures. 32 ^nd Annual Herodicus Society Meeting, Hershey, PA, June 25–28, 2006
34 Noyes FR, Barber-Westin SD, Hewett TE. High tibial osteotomy and ligament reconstruction for varus angulated anterior cruciate ligament-deficient knees. Am J Sports Med 2000; 28 (3) 282-296
35 Clancy Jr WG, Repair and reconstruction of the posterior cruciate ligament. In: Operative Orthopaedics. Chapman MW ed. Philadelphia, PA: JB Lippincott; 1998: 1651-1665
36 Wascher DC, Grauer JD, Markoff KL. Biceps tendon tenodesis for posterolateral instability of the knee. An in vitro study. Am J Sports Med 1993; 21 (3) 400-406
37 Sidles JA, Larson RV, Garbini JL, Downey DJ, Matsen III FA. Ligament length relationships in the moving knee. J Orthop Res 1988; 6 (4) 593-610
38 Fanelli GC, Edson CJ, Orcutt DR, Harris JD, Zijerdi D. Treatment of combined anterior cruciate-posterior cruciate ligament-medial-lateral side knee injuries. J Knee Surg 2005; 18 (3) 240-248
39 Fanelli GC, Edson CJ. Surgical treatment of combined PCL-ACL medial and lateral side injuries (global laxity): surgical technique and 2- to 18-year results. J Knee Surg 2012; 25 (4) 307-316
40 Fanelli GC, Fanelli DG, Edson CJ, Fanelli MG. Combined anterior cruciate ligament and posterolateral reconstruction of the knee using allograft tissue in chronic knee injuries. J Knee Surg 2014; 27 (5) 353-358
41 Fanelli GC ed. Posterior cruciate ligament injuries: what I have learned. In: Posterior Cruciate Ligament Injuries. A Practical Guide to Management. 2nd ed. New York, NY: Springer; 2015: 3-18
42 Fanelli GC, Fanelli DG eds. Posterior cruciate ligament reconstruction in patients eighteen years of age and younger. In: Gregory C. Fanelli, M.D. Fanelli, eds. Posterior Cruciate Ligament Injuries. A Practical Guide to Management. 2nd ed. New York, NY: Springer; 2015: 231-244
43 Edson CJ, Fanelli GC, Beck JD. Postoperative rehabilitation of the posterior cruciate ligament. Sports Med Arthrosc Rev 2010; 18 (4) 275-279
44 Edson CJ, Fanelli GC, Beck JD. Rehabilitation after multiple-ligament reconstruction of the knee. Sports Med Arthrosc Rev 2011; 19 (2) 162-166
45 Edson CJ, Fanelli GC. Postoperative rehabilitation of the multiple ligament injured knee. In: Fanelli GC, Fanelli MD, eds. The Multiple Ligament Injured Knee. A Practical Guide to Management. 2nd ed. New York, NY: Springer-Verlag; 2013: 437-442