Results of isolated posterolateral corner reconstruction Results of isolated posterolateral corner reconstruction Camarda, Lawrence; Condello, Vincenzo; Madonna, Vincenzo; Cortese, Fabrizio; D'Arienzo, Michele; Zorzi, Claudio 2010-03-13 00:00:00 J Orthopaed Traumatol (2010) 11:73-79 DOI 10.1007/s10195-010-0088-9 O R I G IN AL ARTI CL E • • Lawrence Camarda Vincenzo Condello . 墙体电线、电缆导管隐蔽工程验收记录. Posterolateral corner (PLC) injuries of the knee are uncommon injury patterns that may result in significant degrees of functional disability. between 0-120° of flexion). SIGNIFICANCE: This Arciero vs. LaPrade comparison allows for surgeons to select from the reconstruction technique they prefer based on their experience and training without concern for varying surgical outcomes. The purpose of this study is to biomechanically compare the effectiveness of restoring stability to a deficient Posterolateral Corner using two different PLC reconstruction techniques, Arceiro and LaPrade. The posterolateral corner (PLC) is often called the "dark side" of the knee due to its complexity and the minimal amount of research performed to better understand its anatomy and biomechanics. Introduction Arthroscopic reconstruction techniques of the posterolateral corner (PLC) of the knee have been developed in recent years. Arciero RA. Increased postoperative range of motion and a shorter and less invasive surgical procedure could . Arthroscopy 2005;21:1147e1-1147e5. There are different techniques for PLC reconstruction, the most commonly used are the Arciero and LaPrade techniques. CORONAL AND ROTARY STABILITY TWO COMMONLY USED PROCEDURES ARE THE ARCIERO RECONSTRUCTION TECHNIQUE ART AND THE LAPRADE Sports Med Arthrosc 2006;14:28-36. Tourniquet was placed high up on the thigh, and an arthroscopic assessment view was performed. Diagnosis can be suspected with a knee effusion and a positive dial test but MRI studies are required for confirmation. Geeslin et al. A recent biomechanical study showed these to be equally effective; however, the Arciero reconstruction requires only a single semitendinosus graft, whereas LaPrade's technique requires an additional gracilis graft. Sports Med . Scott Faucett, M.D., M.S. • Conclusion: reconstruction of PLC is more reliable than repair alone in the setting of MLI TECHNIQUE - LARSEN • Non-anatomic, fibular-based approach . Knee. PLC reconstructions can be performed using techniques described by LaPrade or Arciero. matlab实训心得体会. 854-860. Varus angulation and external rotation at 0º, 20º, 30º, 60º, and 90º of knee flexion were quantified at each phase. Reconstruction techniques for higher-grade PLC injuries have not yet been validated in clinical studies. Abstract Background Acute and Chronic Management of Posterolateral Corner Injuries of the Knee. a recent biomechanical study looking at the biomechanics of the arciero reconstruction technique and the laprade reconstruction technique showed that both techniques were equally effective in restoring stability to knees with plc injuries. Oblique Transfibular Based Posterolateral Corner Reconstruction 14:19. Robert Arciero. Arciero RA (2005) Anatomic posterolateral corner knee recostruction. S. Faucett 11:13. . Surgical Technique (With. Am J Sports Med. 303303‐233‐233‐1223‐1223 PanoramaOrtho.companoramaortho.com Complications . first published on the anatomy and biomechanics of the PLC ( 11 , 12 ), there has been evidence of improved biomechanical and . Novel approach for reconstruction of the posterolateral corner using a free tendon graft technique. PLC reconstruction. 浅论传统大学英语课堂教学的弊端和初探方法. . This technique provides anatomical PLC reconstruction using autografts as the semitendinosus graft is artificially lengthened by the loop of the suspensory fixation device, . Posterolateral corner of the knee: a systematic literature review of current concepts of arthroscopic reconstruction | springermedizin.de Skip to main content Knee Dislocation Reconstruction 16:34. The purpose of this study was to examine the risk of intersection between an anatomic femoral anterior cruciate . Injuries to the posterolateral corner (PLC) of the knee are most commonly associated with athletic traumas, motor vehicle accidents, and falls. Kumar and coworkers17 described a technique in 1999 by drilling a tunnels in the fibular head and the lateral femoral epicondyle. MR imaging of the posterolateral corner of the knee. Abundant surgical procedures for PLC have been accumulated, and can be broadly divided into two types: anatomical and non-anatomical. Posterolateral corner(PLC) injuries are a significant cause of knee instability and cruciate reconstruction failures. The ten- Summary. FEATURING Robert Arciero. Arciero 41 drills two holes on the femoral site to recreate the footprint of popliteus tendon and FCL. REFERENCES: [1] LaPrade, F. Robert et al. [2] Arciero, A . and illustrate the Arciero technique for open, anatomic reconstruction of the PLC, which was initially described 15 years ago,7however, now with a few modifications. 振华重工实习报告. It remains, however, difficult to generate a Fig. Free Download Here Pdfsdocuments2 Com. 2003. Background:Despite the evolution of acromioclavicular joint surgery to a more anatomic coracoclavicular (CC) ligament reconstruction, no definitive guidance regarding the number and position of bon. This study aimed to compare clinical outcomes of two different techniques and to present results of the first prospective randomized clinical trial of . . Our PLC reconstruction technique uses a fresh-frozen, nonirradiated Achilles tendon allograft with a contiguous bone block. Outcome was evaluated . Two very commonly used techniques are the Arciero and LaPrade reconstructions. Am J Sports Med 2016 - systematic review of treatment of acute posterolateral corner injuries - 134 patients - overall, 81% achieved objective stability - repair with staged reconstruction resulted in 38% failures - early reconstruction +/- repair resulted in 9 . Combined PCL and PLC reconstruction in chronic posterolateral instability. (Figure 1) This has lead to the creation of multiple surgical reconstruction techniques. In early-intervened PLC injuries, which are usually type B and C lesions according to the Bleday and Fanelli classification , it is advisible repair / reinsert (Fig. Posterolateral Corner (PLC) Reconstruction: Surgical Video Feat. However, consensus has been lacking as to how to reconstruct the PLC. Since LaPrade et al. This image displays the final appearance of an anatomic PLC reconstruction procedure, which restores the native anatomy of the fibular collateral ligament, popliteofibular ligament, and popliteus tendon. The goal of this study is to determine the clinical outcome of PLC reconstruction following fibular-based technique. PLC reconstruction techniques Reconstruction techniques can be classified into non- anatomical or anatomical. FEATURING David McAllister. did not require reconstruction - 4/6 with isolated PLC did not require subsequent reconstruction - 10/14 with multiliament injuries . Posterolateral corner (PLC) injuries are traumatic knee injuries that are associated with lateral knee instability and usually present with a concomitant cruciate ligament injury (PCL > ACL). FCL avulsion) and augment with an allograft/auto using preferably the Arciero technique [2, 41, 113] which it is enough to control the varus and external rotation, (Fig. Proximal tibial medial opening wedge osteotomy can be an effective first method of treatment for patients with chronic combined PLC knee injuries and genu varus alignment (Fig. demonstrated that combined reconstruction of a double-bundle PCL and PLC can restore knee kinematics to a state near intact ligaments . Another option for the PLC is performing a . The secondary aim was to compute the most isometric Whipstitches were placed in each end of the graft to aid in graft passage. Purpose: To (1) simulate graft elongation patterns during knee flexion for 3 different PLC reconstruction techniques (Larson, Arciero, and LaPrade) and (2) compute the most isometric insertion points of the fibular collateral . The objective of this study was to identify which reconstruction technique (Arciero vs. LaPrade) best restores stability to an isolated posterolateral corner (PLC) injury and injuries of the PLC which occur concurrently with injury to the tibiofibular joint (tib-fib) and the anterior cruciate ligament (ACL), respectively. Clinics (Sao Paulo) 2012;67(2):597-602. Purpose: To (1) simulate graft elongation patterns during knee flexion for 3 different PLC reconstruction techniques (Larson, Arciero, and LaPrade) and (2) compute the most isometric insertion points of the fibular collateral . We retrospectively evaluated a case series of patients who received isolated PLC reconstruction between March 2005 and January 2007. . Peter B. MacDonald. The purpose of this study is to biomechanically compare the effectiveness of restoring stability to a deficient Posterolateral Corner (PLC) using two different PLC reconstruction techniques, Arceiro and LaPrade. 'a biomechanical comparison of the arciero and laprade april 24th, 2019 - background injury to the posterolateral corner plc of the knee requires reconstruction to restore coronal and rotary stability two commonly used procedures are the arciero reconstruction technique art and the laprade reconstruction technique lrt to the - primary reconstruction on 22 patients, with 9% failure at 2 years . reconstruction technique and development on anatomical reconstruction of PLC were reported8, 17-19. Reconstruction techniques for higher-grade PLC injuries have not yet been validated in clinical studies. The bone block is shaped into a 9 × 23-mm (diameter × length) cylinder. The PLC structure was reconstructed by using autogenous tendon graft passing through the tunnels and Fibular Based Posterolateral Corner Reconstruction 03:55. Open Anatomic Reconstruction of the Posterolateral Corner: The Arciero Technique Abstract The posterolateral corner (PLC) is an important stabilizer of the knee. This study aimed to compare clinical outcomes of two different techniques and to present results of the first prospective randomized clinical trial of patients to undergo these novel procedures. Fibula-based anatomic PLC reconstruction (technique according to Arciero) . The ART was completed as described by Arciero. Methods Patients aged > 18 years undergoing PLC-R using the Larson technique combined with either ACL or PCL reconstruction were included. Answer: Yes. Bicos J, Arciero RA. In 2005, Arciero1published a technique in which the PLC was reconstructed with a fibular-based free soft tissue graft. This technique provides anatomical PLC reconstruction using autografts as the semitendinosus graft is artificially lengthened by the loop of the suspensory fixation device, . Femoral tunnel intersection in combined anterior cruciate ligament and posterolateral corner reconstruction has been reported to be high. Sports Med Arthrosc 2006;14:28-36. demonstrates his surgical technique for posterolateral cornner reconstruction using the ACUFEX Extra-Articular Reconstruction Guide. 1,244 views January 15, 2015 . This unique instrument set has been designed to accommodate all anatomic and isometric-based ligament reconstructions on the . Abstract:Injuries to the lateral collateral ligament and posterolateral corner of the knee, particularly when combined with anterior cruciate or posterior cruciate ligament injuries, can result in profound symptomatic knee instability. Bicos J, Arciero RA. Bicos J, Arciero RA. . When surgery is necessary to address this injury a good knowledge of anatomy and a good surgical exposure is the mainstay. In this case, due to low demand, personal history, and age of the patient . Stabilization of the PLC is the outcome of three soft tissue structures: the Fibular Collateral Ligament (FCL), the Popliteofibular Ligament (PFL), and the Popliteus Tendon (PLT). Length change pattern of the native LCL was mimicked best by the reconstruction of the PLC according to LaPrade (p = n.s. Reconstruction of the PLC according to Arciero and Larson led to significantly less lengthening between 40 and 120° of flexion (p < 0.05 each). Sports Med Arthrosc . Anatomic Posterolateral Corner Knee Reconstruction Robert A. Arciero, M.D. Claude T Moorman. and illustrate the Arciero technique for open, anatomic reconstruction of the PLC, which was initially described 15 years ago, 7 however, now with a few modi fi cations. Novel approach for reconstruction of the posterolateral corner using a free tendon graft technique. 2019 ICD 10 CM Diagnosis Code S83 521A Sprain Of. Posterolateral corner reconstruction of the knee: evaluation of a technique with clinical outcomes and stress radiography. https://pubmed.ncbi.nlm.nih.gov/31019985/ . demonstrated that a double-bundle PCL graft along with a PLC reconstruction was unnecessary to restore posterior drawer, external rotation . 954 views October 8, 2019 4 ; 22:55. 5 Arciero's . Anatomic posterolateral corner knee . Novel approach for reconstruction of the posterolateral corner using a free tendon graft technique. Bicos J, Arciero RA. Furthermore, Sekiya et al. 6). Arciero RA. Rios CG, Leger RR, Cote MP, Yang C, Arciero RA. 9. 14 the authors recommend, as do we, that surgeons should select a reconstruction technique based on their … . 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