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Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am Volume 93(18):1672-1683 September 21, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries

by Andrew G. Geeslin, and Robert F. LaPrade

J Bone Joint Surg AmVolume 93(18):1672-1683

September 21, 2011

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

A: Photograph of a right knee showing an avulsion of the biceps femoris tendon (arrow) from the fibular head.

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

A: Photograph of a left knee showing a proximal intrasubstance tear of the fibular collateral ligament (FCL) (in forceps) and a traction suture placed in the FCL (arrow) through an incision in

the biceps bursa.

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

A: Photograph of a right knee showing sutures placed in the femoral attachment of the avulsed popliteus tendon (arrow) in preparation for a recess procedure.

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

A: Photograph of a right knee showing an avulsion of the lateral capsular ligament (in forceps) from the tibia and placement of suture anchors (arrows) for repair.

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

Algorithm for repair versus reconstruction of posterolateral corner (PLC) structures.

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

Illustration of a right knee depicting a reconstruction of the popliteofibular ligament (PFL) with a concurrent fibular collateral ligament (FCL) reconstruction.

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

A: Anteroposterior radiograph of a right knee showing an avulsion fracture of the fibular head (arrow).

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

International Knee Documentation Committee (IKDC) objective posterolateral stability and one-leg-hop scores at the initial preoperative evaluation and at the final follow-up evaluation after

surgical treatment of an acute grade-III posterolateral knee injur...

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Outcomes of Treatment of Acute Grade-III Isolated and Combined Posterolateral Knee Injuries by Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg

Anteroposterior varus stress radiographs (at 20° of knee flexion) of a patient with an injury to the posterolateral corner of the left knee.

Andrew G. Geeslin, and Robert F. LaPrade J Bone Joint Surg Am 2011;93:1672-1683

©2011 by The Journal of Bone and Joint Surgery, Inc.