Outcome of the treatment of chronic isolated and combined posterolateral corner knee injuries with 2-to 6-year follow-up

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dc.authoridErtem, Kadir/0000-0002-8892-494X
dc.authoridErsoy, Yuksel/0000-0002-8035-4532
dc.authoridKarakaplan, Mustafa/0000-0001-9035-0319
dc.authorwosidErtem, Kadir/ABG-9780-2020
dc.authorwosidErsoy, Yuksel/S-7503-2016
dc.authorwosidKarakaplan, Mustafa/IXN-3318-2023
dc.contributor.authorGormeli, Gokay
dc.contributor.authorGormeli, Cemile Ayse
dc.contributor.authorElmali, Nurzat
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorErtem, Kadir
dc.contributor.authorErsoy, Yuksel
dc.date.accessioned2024-08-04T20:41:11Z
dc.date.available2024-08-04T20:41:11Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractInjuries of the posterolateral corner (PLC) of the knee are rare. They are difficult to diagnose and can cause severe disability. This study presents the 20- to 70-month clinical and radiological outcomes of the anatomical reconstruction technique of LaPrade et al. Twenty-one patients with chronic PLC injuries underwent anatomical PLC reconstruction. The anatomical locations of the popliteus tendon, fibular collateral ligament, and popliteofibular ligament were reconstructed using a 2-graft technique. The patients were evaluated subjectively with the Tegner, Lysholm, and International Knee Documentation Committee (IKDC) subjective knee scores and objectively with the IKDC objective scores; additionally, varus stress radiographs were taken to evaluate knee stability. Significant (p < 0.05) improvements were observed in the postoperative Lysholm, IKDC-s, and Tegner scores compared with preoperatively. The IKDC objective subscores (lateral joint opening at 20A degrees of knee extension, external rotation at 30A degrees and 90A degrees, and the reverse pivot-shift test) had improved significantly at the time of the final 40.9 +/- A 13.7-month follow-up. Lateral compartment opening on the varus stress radiographs had decreased significantly in the postoperative period. However, there was still a significant difference compared with the uninjured knee. There was no significant improvement in the IKDC-s, Lysholm, or Tegner scores between the nine patients with isolated PLC injuries and twelve with multi-ligament injuries. Significant improvement in the objective knee stability scores and clinical outcomes with anatomical reconstruction showed that this technique can be used to treat patients with chronic PLC injured knees. However, longer-term multicentre studies and studies with larger groups comparing multiple techniques are required to determine the best treatment method for PLC injuries.en_US
dc.identifier.doi10.1007/s00402-015-2291-x
dc.identifier.endpage1368en_US
dc.identifier.issn0936-8051
dc.identifier.issn1434-3916
dc.identifier.issue10en_US
dc.identifier.pmid26188525en_US
dc.identifier.scopus2-s2.0-84941994960en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1363en_US
dc.identifier.urihttps://doi.org/10.1007/s00402-015-2291-x
dc.identifier.urihttps://hdl.handle.net/11616/96977
dc.identifier.volume135en_US
dc.identifier.wosWOS:000361494200005en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKneeen_US
dc.subjectMulti-ligament injuryen_US
dc.subjectPosterolateral corneren_US
dc.subjectReconstructionen_US
dc.titleOutcome of the treatment of chronic isolated and combined posterolateral corner knee injuries with 2-to 6-year follow-upen_US
dc.typeArticleen_US

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