Lateral collateral ligament reconstruction using a semitendinosus graft

2004 ◽  
Vol 12 (1) ◽  
pp. 36-42 ◽  
Author(s):  
R. Buzzi ◽  
P. Aglietti ◽  
L. M. Vena ◽  
F. Giron
Keyword(s):  
Ligament Reconstruction ◽  
Lateral Collateral Ligament ◽  
Collateral Ligament ◽  
Semitendinosus Graft

Biomechanical Analysis of an Isolated Fibular (Lateral) Collateral Ligament Reconstruction Using an Autogenous Semitendinosus Graft

2007 ◽  
Vol 35 (9) ◽  
pp. 1521-1527 ◽  
Author(s):  
Benjamin R. Coobs ◽  
Robert F. LaPrade ◽  
Chad J. Griffith ◽  
Bradley J. Nelson
Keyword(s):  
Internal Rotation ◽  
Knee Flexion ◽  
Ligament Reconstruction ◽  
External Rotation ◽  
Anatomic Reconstruction ◽  
Ligament Injury ◽  
Collateral Ligament ◽  
Fibular Collateral Ligament ◽  
Normal Stability ◽  
Semitendinosus Graft

Background The fibular collateral ligament is the primary stabilizer to varus instability of the knee. Untreated fibular collateral ligament injuries can lead to residual knee instability and can increase the risk of concurrent cruciate ligament reconstruction graft failures. Anatomic reconstructions of the fibular collateral ligament have not been biomechanically validated. Purpose To describe an anatomic fibular collateral ligament reconstruction using an autogenous semitendinosus graft and to test the hypothesis that using this reconstruction technique to treat an isolated fibular collateral ligament injury will restore the knee to near normal stability. Study Design Controlled laboratory study. Methods Ten nonpaired, fresh-frozen cadaveric knees were biomechanically subjected to a 10 N·m varus moment and 5 N·m external and internal rotation torques at 0°, 15°, 30°, 60°, and 90° of knee flexion. Testing was performed with an intact and sectioned fibular collateral ligament, and also after an anatomic reconstruction of the fibular collateral ligament with an autogenous semitendinosus graft. Motion changes were assessed with a 6 degree of freedom electromagnetic motion analysis system. Results After sectioning, we found significant increases in varus rotation at 0°, 15°, 30°, 60°, and 90°, external rotation at 60° and 90°, and internal rotation at 0°, 15°, 30°, 60°, and 90° of knee flexion. After reconstruction, there were significant decreases in motion in varus rotation at 0°, 15°, 30°, 60°, and 90°, external rotation at 60° and 90°, and internal rotation at 0°, 15°, and 30° of knee flexion. In addition, we observed a full recovery of knee stability in varus rotation at 0°, 60°, and 90°, external rotation at 60° and 90°, and internal rotation at 0° and 30° of knee flexion. Conclusion An anatomic fibular collateral ligament reconstruction restores varus, external, and internal rotation to near normal stability in a knee with an isolated fibular collateral ligament injury. Clinical Significance An anatomic reconstruction of the fibular collateral ligament with an autogenous semitendinosus graft is a viable option to treat nonrepairable acute or chronic fibular collateral ligament tears in patients with varus instability.

scholarly journals Percutaneous Lateral Collateral Ligament Reconstruction

2020 ◽  
Vol 9 (10) ◽  
pp. e1577-e1580
Author(s):  
Bancha Chernchujit ◽  
Panin Anilabol ◽  
Vitorio Nicolas F. Malonzo
Keyword(s):  
Ligament Reconstruction ◽  
Lateral Collateral Ligament ◽  
Collateral Ligament

Effect of ulnar tunnel location on elbow stability in double-strand lateral collateral ligament reconstruction

2017 ◽  
Vol 26 (3) ◽  
pp. 409-415 ◽  
Author(s):  
H. Mike Kim ◽  
Colin R. Andrews ◽  
Evan P. Roush ◽  
Gregory I. Pace ◽  
Gregory S. Lewis
Keyword(s):  
Ligament Reconstruction ◽  
Lateral Collateral Ligament ◽  
Collateral Ligament ◽  
Ulnar Tunnel

scholarly journals Magnetic resonance imaging comparison of lateral collateral ligament and patellar tendon length

2014 ◽  
Vol 67 (7-8) ◽  
pp. 197-201
Author(s):  
Vesna Njagulj ◽  
Nemanja Kovacev ◽  
Predrag Rasovic ◽  
Robert Semnic ◽  
Miroslav Milankov
Keyword(s):  
Magnetic Resonance Imaging ◽  
Patellar Tendon ◽  
Ligament Reconstruction ◽  
Lateral Collateral Ligament ◽  
Resonance Imaging ◽  
Collateral Ligament ◽  
Tendon Length ◽  
Significant Difference ◽  
Patellar Tendon Length ◽  
The Mean

Introduction. The problem of using patellar tendon auto or allografts for lateral collateral ligament reconstruction results in the occurrence of ligaments mismatch. The length of patellar tendon does not match the lateral collateral ligament. Material and Methods. Out of 151 patients, who formed the study, 102 were men with the mean age of 30 years (18-54) and 49 women, with the mean age of 34 (18-55), and they all underwent magnetic resonance imaging of the knee. Both patellar tendon and lateral collateral ligament were measured using a three-dimensional isovoxel truefast-imaging with steady-state precession sequence with water excitation and secondary multiplanar reformations. In order to visualize the lateral collateral ligament insertions precisely, sagittal images were reformatted according to the anatomical, oblique ligament position, in anteriorly tilted, paracoronal plane. The length of the patellar tendon was measured from the patellar apex to the tibial tuberosity insertion site. Results. The mean patellar tendon length was 52.88?7.56 mm (37-75) with a significant difference between men and women. The mean lateral collateral ligament length was 61.21?5.77 mm (46-80) with a significant difference between genders. The average differences between lateral collateral ligament and patellar tendon length was 8.38?7.23 mm (-9 to 26) without a significant difference between the genders. In 18 (11.92%) patients, the patellar tendon was longer than the lateral collateral ligament; in 7 patients (4.63%) they were equal; and in 126 patients (83.44%) the patellar tendon was shorter than the lateral collateral ligament. Conclusion. The length of patellar tendon does not match the length of lateral collateral ligament. If patellar tendon auto or allograft is used for lateral collateral ligament reconstruction, the lengths of both ligaments must be determined preoperatively in order to avoid intraoperative complications.

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