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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
- 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/*transplantation ; Joint Instability/*radiography/*surgery ; Orthopedic Procedures/*methods ; Physical Examination ; Reconstructive Surgical Procedures/*methods ; Rotation ; Transplantation, Homologous ; Knee Joint
- 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
https://hdl.handle.net/10371/10888
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