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Novel methods for diagnosis and treatment of posterolateral rotatory instability of the knee

Cited 7 time in Web of Science Cited 8 time in Scopus
Authors
Chang, Chong Bum; Seong, Sang Cheol; Lee, Sahnghoon; Yoo, Jae Ho; Park, Yoon Keun; Lee, Myung Chul
Issue Date
2007
Publisher
Journal of Bone and Joint Surgery, Inc.
Citation
J Bone Joint Surg Am. 2007;89 Suppl 3:2-14
Keywords
Achilles Tendon/*transplantationJoint Instability/*radiography/*surgery*Knee JointOrthopedic Procedures/*methodsPhysical ExaminationReconstructive Surgical Procedures/*methodsRotationTransplantation, Homologous
Abstract
Injury to the posterolateral corner structures of the knee
can cause posterolateral rotatory instability, a condition
that has attracted increased attention over recent years1.
This injury is often associated with cruciate ligament injury,
and its diagnosis can be difficult unless one has a high degree
of clinical suspicion for an injury to the posterolateral corner
structures2,3. Although a number of treatment methods have
been proposed over the past twenty years2,4-12, there has been
considerable controversy regarding the optimal method of
surgical treatment for this injury. The consequences of missed
or unsuccessfully treated posterolateral rotatory instability can
be profound: reconstructed anterior or posterior cruciate
ligaments can fail, and persistent posterolateral rotatory instability
may eventually cause pain, instability, and even degenerative
changes13-17.
In this report, we describe the use of an external rotationvalgus
stress radiograph for the evaluation and diagnosis of
posterolateral rotatory instability, and we describe a new anatomical
reconstruction procedure involving use of a split
Achilles tendon allograft for its treatment.
ISSN
0021-9355 (Print)
Language
English
URI
http://www.ejbjs.org/cgi/content/extract/89/suppl_3/2

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17908867

http://hdl.handle.net/10371/10888
DOI
https://doi.org/10.2106/JBJS.G.00582
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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