@article{TEXTUAL,
      recid = {11115},
      author = {Dulas, Matthew and Lee, Cody and Liu, Margaret and  Athiviraham, Aravind},
      title = {Lateral Collateral Ligament Reconstruction With  Tensionable Loops and Suture Tape Reinforcement},
      journal = {Video Journal of Sports Medicine},
      address = {2024-02-19},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Background: The posterolateral corner (PLC) is an  important knee stabilizer that resists varus stress,  external tibial rotation, and posterior tibial translation.  Untreated PLC injuries have been shown to increase failure  rates of anterior cruciate ligament (ACL) and posterior  cruciate ligament (PCL) reconstructions and lead to  degenerative changes. Our modified Arciero technique  reconstructs the femoral insertion site and functionality  of the lateral collateral ligament (LCL) and popliteal  fibular ligament, components of the PLC, with an internal  brace and tensionable loops.&lt;/p&gt; &lt;p&gt;Indications: The  primary indication for PLC reconstruction is identified PLC  injury. Patients often have a feeling of knee instability  and a varus thrust gait. PLC injury should be confirmed  with imaging.&lt;/p&gt; &lt;p&gt;Technique Description: We employed a  modified Arciero technique via LCL reconstruction with  tensionable loops and internal brace. We used a  semitendinosus allograft truncated at 240-millimeters to  avoid the graft bottoming out. A suture augment was  incorporated into the graft to reinforce the LCL  reconstruction construct during graft tensioning and early  rehabilitation. The graft construct was then passed through  the transfibular tunnel to femoral sockets at the LCL and  popliteus insertions. The graft construct is then affixed  to the opposite femoral cortex. The graft was then  tensioned with the knee in approximately 30° of flexion,  neutral to 10° of internal rotation, and a valgus force  applied. This restored excellent valgus stability.&lt;/p&gt;  &lt;p&gt;Results: Fibular and tibiofibular-based constructs are  common procedures for PLC reconstruction. Our LCL  reconstruction with tensionable loops technique and the  Arciero technique are fibular-based constructs. The  fibular-based construct and the tibiofibular-based  construct have been found to be biomechanically equivalent  at restoring knee stability. However, fibular-based  constructs, such as our LCL reconstruction with tensionable  loops, were found to be less technically demanding than  tibiofibular-based constructs, used fewer grafts, and  required a smaller surgical approach.&lt;/p&gt; &lt;p&gt;Conclusion:  Given similar clinical outcomes, it was concluded that  fibular-based constructs, such as our modified Arciero  technique, may be more advantageous because of the ability  to avoid some of the pitfalls of tibiofibular-based  constructs.&lt;/p&gt; &lt;p&gt;Patient Consent Disclosure Statement:  The author(s) attests that consent has been obtained from  any patient(s) appearing in this publication. If the  individual may be identifiable, the author(s) has included  a statement of release or other written form of approval  from the patient(s) with this submission for  publication.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/11115},
}