Systematic review for management of Posterolateral corner injuries of the knee

Abstract

Eighty three (83) patients had repair for the PLC and four hundred and sixty seven (467) patients had reconstruction of the PLC, the most evident outcome was that the acute repair of the PLC is associated with 25% failure rate, and there was a slight advantage of early over late repair, and reconstruction of PLC is associated with 9 % failure. Reconstruction techniques varied among studies which can be categorized broadly into isometric reconstruction of the FCL and the popliteus with a single graft, anatomic reconstruction of FCL, popliteus and PFL, fibular sling with single femoral tunnel, fibular sling with 2 femoral tunnels, all reconstruction techniques had very close failure rates, the highest failure rate was isometric reconstruction of the FCL and the popliteus with a single graft with failure rate 12% and the lowest one was the fibular sling with 2 femoral tunnels with failure rate 5%. Different measurements were used in studies for subjective scores, IKDC and Lysholm scores were selected in our study. By comparing results both repair and reconstruction was nearly the same, the mean Lysholm score in the repair group was 87.3 while reconstruction group had mean Lysholm of 87.5, reconstruction techniques had Lysholm scores close to each other,