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http://dx.doi.org/10.1177/0004867412459570DOI Listing

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Article Synopsis
  • The posterolateral corner (PLC) of the knee was historically difficult to understand and treat, leading to high failure rates with non-anatomic reconstruction methods known as "fibular slings".
  • Newer anatomic reconstruction techniques aim to restore all three main PLC stabilizers, with two primary approaches: tibiofibular-based (LaPrade and Engebretsen) and fibular-based (Levy/Marx, Arciero).
  • The tibiofibular approach is considered superior as it better mimics the knee's natural structure and function, while certain conditions warrant the use of tibial tunnels instead of fibular-based reconstructions.
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A small degree of increased varus laxity in acute anterior cruciate ligament (ACL)-disrupted knees often can be discovered on initial examination. Why this occurs is not always clear and is usually thought to be related to some degree of fibular collateral ligament injury. However, there may be another structure that demands our attention in an ACL-deficient knee with more laxity than isolated ACL injuries but less laxity than combined ACL and fibular collateral ligament injuries.

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