anatomical reconstruction for chronic posterolateral instability combined with posterior cruciate...
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Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8 ©2012 by The Journal of Bone and Joint Surgery, Inc.TRANSCRIPT
![Page 1: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/1.jpg)
Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament
Reconstruction
by Sung-Jae Kim, Sung-Hwan Kim, Hee-Don Han, In-Sung Lee, Sung-Guk Kim, and Yong-Min Chun
JBJS Essent Surg TechVolume 2(2):e8April 11, 2012
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/2.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/3.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/4.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/5.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/6.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/7.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/8.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/9.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/10.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/11.jpg)
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/12.jpg)
Creating the femoral socket for posterolateral corner reconstruction in the medial femoral condyle.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 13: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/13.jpg)
The Achilles tendon-bone allograft for the reconstruction of the PCL. The bone plug was trimmed for tibial fixation.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 14: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/14.jpg)
Skin incision for posterolateral corner reconstruction, starting from the anterior aspect of the fibular head and extending to the femoral epicondyle.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 15: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/15.jpg)
Creating the tibial tunnel for posterolateral corner reconstruction.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 16: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/16.jpg)
Creating the fibular tunnel for posterolateral corner reconstruction.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 17: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/17.jpg)
Each end of the graft passed out of the tibial and fibular tunnels.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 18: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/18.jpg)
Isometricity test.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 19: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/19.jpg)
Femoral fixation for reconstructing the popliteus tendon (arrow).
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 20: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/20.jpg)
Femoral fixation for reconstructing the LCL (black arrow) over the popliteus tendon (white arrow).
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 21: Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,](https://reader034.vdocument.in/reader034/viewer/2022051101/5a4d1b167f8b9ab059991a8a/html5/thumbnails/21.jpg)
The tensioner for the graft in tibial fixation.
Sung-Jae Kim et al. JBJS Essent Surg Tech 2012;2:e8
©2012 by The Journal of Bone and Joint Surgery, Inc.