2017, Number 6
<< Back Next >>
Acta Ortop Mex 2017; 31 (6)
Minimally invasive reconstruction of the posterolateral corner with simultaneous replacement of the anterior cruciate ligament for complex knee ligament injuries
Vega-España EA, Vilchis-Sámano H, Ruiz-Mejía O
Language: Spanish
References: 11
Page: 279-282
PDF size: 187.63 Kb.
ABSTRACT
Objective: To evaluate and describe the results of a simultaneous reconstruction with minimally invasive technique of the posterolateral complex (PLC) and the anterior cruciate ligament (ACL).
Material and methods: ACL and PLC reconstruction was performed in seven patients using the technique described, in the period from March to November 2012. All patients were evaluated at six months after the procedure using IKDC and IKSS subjective tests. Their return to work activities and their level of satisfaction were assessed.
Results: Six male and one female patients ranging in age between 26 and 46 years were evaluated. The injuries were mostly caused by sports related accidents. All patients were economically active and required an average period of three months of disability. The assessment and outcomes at six months, according to the IKDC scale, were: one patient with IKDC A, four with IKDC B, one patient with C, and one with D. In the subjective scale IKSS, 80% averaged a knee stability of over 90 points, a patient had a 100-point scale and another, of 70 points.
REFERENCES
Aglietti P, Buzzi R, D’Andria S, Zaccherotti G: Arthroscopic anterior cruciate ligament reconstruction with patellar tendon. Arthroscopy. 1992; 8(4): 510-6.
Strobel MJ, Schulz MS, Petersen WJ, Eichhorn HJ: Combined anterior cruciate ligament, posterior cruciate ligament, and posterolateral corner reconstruction with autogenous hamstring grafts in chronic instabilities. Arthroscopy. 2006; 22(2): 182-92.
Bleday RM, Fanelli GC, Giannotti BF, Edson CJ, Barrett TA: Instrumented measurement of the posterolateral corner. Arthroscopy. 1998; 14(5): 489-94.
Schenk RC: Lesiones múltiples de los ligamentos de la rodilla en el deportista. AAOS. España: Ars Médica; 2003.
Helgeson MD, Lehman RA Jr, Murphy KP: Initial evaluation of the acute and chronic multiple ligament injured knee. J Knee Surg. 2005; 18(3): 213-9.
Astoul-Bonorino J, Costa-Paz M, Carbo L, Yacuzzi C: Reconstrucción simultánea del ligamento cruzado anterior y del ángulo posteroexterno de la rodilla. Rev Asoc Argent Traumatol Deporte. 20011; 18(2): 76-80.
Lee SH, Jung YB, Jung HJ, Song KS, Ko YB: Combined reconstruction for posterolateral rotatory instability with anterior cruciate ligament injuries of the knee. Knee Surg Sports Traumatol Arthrosc. 2010; 18(9): 1219-25.
Potter HG, Weinstein M, Allen AA, Wickiewicz TL, Helfet DL: Magnetic resonance imaging of the multiple-ligament injured knee. J Orthop Trauma. 2002; 16(5): 330-9.
Frassica FJ, Sim FH, Staeheli JW, Pairolero PC: Dislocation of the knee. Clin Orthop Relat Res. 1991; (263): 200-5.
Schenck R, Mercer D: Surgical reconstruction of the dislocated knee. Techniques in Knee Surgery. 2006; 5(3): 174-86.
Nicandri GT, Chamberlain AM, Wahl CJ: Practical management of knee dislocations: a selective angiography protocol to detect limb-threatening vascular injuries. Clin J Sport Med. 2009; 19(2): 125-9.