Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty
Posterolateral rotatory instability is a relatively uncommon cause of unstable total knee arthroplasty (TKA). In most cases, surgical treatment requires revision TKA into a more constrained design or thicker polyethylene liner. We present a case of a patient with unstable TKA who remained unstable a...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/262187 |
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| author | Joseph T. Cline Eduard Alentorn-Geli J. H. James Choi Joseph J. Stuart Terry Kruger Claude T. Moorman III |
| author_facet | Joseph T. Cline Eduard Alentorn-Geli J. H. James Choi Joseph J. Stuart Terry Kruger Claude T. Moorman III |
| author_sort | Joseph T. Cline |
| collection | DOAJ |
| description | Posterolateral rotatory instability is a relatively uncommon cause of unstable total knee arthroplasty (TKA). In most cases, surgical treatment requires revision TKA into a more constrained design or thicker polyethylene liner. We present a case of a patient with unstable TKA who remained unstable after increasing thickness of the polyethylene liner and undergoing more constrained TKA. After several revision surgeries, the patient was still unstable. Posterolateral corner reconstruction with a fibular-based technique using a tibialis anterior allograft was performed. At 1-year follow-up, the patient was stable and asymptomatic and with excellent function. A soft-tissue procedure only (fibular-based posterolateral corner reconstruction) can be effective at restoring posterolateral rotatory stability in a patient with persistent instability after revision TKA. |
| format | Article |
| id | doaj-art-b4af8c89a829415798e641d478704a22 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-b4af8c89a829415798e641d478704a222025-02-03T01:25:53ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/262187262187Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee ArthroplastyJoseph T. Cline0Eduard Alentorn-Geli1J. H. James Choi2Joseph J. Stuart3Terry Kruger4Claude T. Moorman III5University of North Carolina School of Medicine, 321 S. Columbia Street, Chapel Hill, NC 27516, USADuke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USADuke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USADuke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USADuke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USADuke Sports Sciences Institute, Department of Orthopaedic Surgery, Duke University, 3475 Erwin Road, Durham, NC 27705, USAPosterolateral rotatory instability is a relatively uncommon cause of unstable total knee arthroplasty (TKA). In most cases, surgical treatment requires revision TKA into a more constrained design or thicker polyethylene liner. We present a case of a patient with unstable TKA who remained unstable after increasing thickness of the polyethylene liner and undergoing more constrained TKA. After several revision surgeries, the patient was still unstable. Posterolateral corner reconstruction with a fibular-based technique using a tibialis anterior allograft was performed. At 1-year follow-up, the patient was stable and asymptomatic and with excellent function. A soft-tissue procedure only (fibular-based posterolateral corner reconstruction) can be effective at restoring posterolateral rotatory stability in a patient with persistent instability after revision TKA.http://dx.doi.org/10.1155/2015/262187 |
| spellingShingle | Joseph T. Cline Eduard Alentorn-Geli J. H. James Choi Joseph J. Stuart Terry Kruger Claude T. Moorman III Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty Case Reports in Orthopedics |
| title | Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty |
| title_full | Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty |
| title_fullStr | Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty |
| title_full_unstemmed | Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty |
| title_short | Posterolateral Corner Reconstruction Alone Using a Fibular-Based Technique in a Patient with Persistent Unstable Revision Total Knee Arthroplasty |
| title_sort | posterolateral corner reconstruction alone using a fibular based technique in a patient with persistent unstable revision total knee arthroplasty |
| url | http://dx.doi.org/10.1155/2015/262187 |
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