ICL 105: The Multiligament Knee: A Mini Symposium for Getting This Right-Managing the Corners: Repair, Augment, or Reconstruct?

Managing the Corners: Repair, Augment, or Reconstruct?

Video Transcription

Video Summary

The presentation emphasizes the importance of anatomic reconstruction over repair for knee ligament injuries, particularly in the posterolateral and posteromedial corners. Repairs, especially of the posterolateral corner structures, show high failure rates (up to 40%), while reconstructions yield better outcomes (around 9% failure). Techniques using soft tissue grafts like semitendinosus for FCL and combined procedures for popliteus tendon provide stability and improved patient function. For the medial side, reconstructions of the superficial MCL and posterior oblique ligament are preferred over repairs, especially in severe injuries. Early range of motion and anatomic restoration are key to successful recovery and return to activity.

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Presented by Robert LaPrade, MD

Keywords

anatomic reconstruction

knee ligament injuries

posterolateral corner

posteromedial corner

soft tissue grafts