AI Article Synopsis
- The posterior oblique ligament (POL) is a key structure in the knee's posteromedial corner and helps stabilize against various forces.
- Injuries to this area often occur with ACL injuries, leading to issues like anteromedial rotatory instability.
- A surgical technique developed by Hughston in 1973 treats these injuries by reinforcing the POL and may involve adjusting the semimembranosus tendon to enhance knee stability without needing a tendon graft from other areas.
Article Abstract
The posterior oblique ligament (POL) is the main component of the posteromedial corner (PMC) of the knee and plays a crucial role in acting as a secondary restraint against translation, rotation, and valgus forces. Injuries to the PMC often occur in association with acute or chronic deficiency of the anterior cruciate ligament and may result in anteromedial rotatory instability. A surgical technique for treatment of acute and chronic injuries of the posteromedial structures was first established by Hughston in 1973. This procedure involves an advancement and reefing of the POL and adherent posterior capsule to the stout tissue of the intact medial collateral ligament, potentially using suture anchors if the POL tissue is detached from bone. Additionally, in cases of residual laxity, the semimembranosus tendon may be advanced anteriorly to improve dynamic stabilization. This procedure appears to be useful in cases of moderate posteromedial insufficiency and avoids retrieval of a medial tendon graft from the region of the medially stabilizing hamstrings or from the healthy contralateral side.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984449 | PMC |
| http://dx.doi.org/10.1016/j.eats.2018.01.008 | DOI Listing |
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