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CLINICAL RESULTS OF RECONSTRUCTION OF THE POSTEROLATERAL CORNER OF THE KNEE



Abstract

Statement : A prospective review of the clinical outcome following reconstruction of isolated posterolateral corner (PLC) injuries to the knee.

Method : 10 patients underwent an isolated PLC reconstruction for symptomatic instability. All patients had preoperative and post operative clinical examination, and functional knee scores.

Results : There were 9 males and 1 female, mean age of 35, with 100% follow up. Median length of follow up was 46 months (range 2 – 69). At the latest follow up, the mean Lysholm scores were 89.9, with an average increase in Tegner scores of 3.3 (range 2–10). IKDC scores showed a median of 93 (66 – 100). All patients had < 3 mm mean side to side difference using the KT1000 arthrometer, and no increase in PLRI. There were no complications and no clinical failures requiring further surgery. All the patients said they would undergo the surgery again.

Conclusion : In this series of patients with symptomatic PLC injury, hamstring graft reconstruction has restored knee stability with good functional outcomes.

Correspondence should be addressed to Mr Tim Wilton, BASK at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE.