Posterolateral Corner Repair With Suture Tape Augmentation

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Posterolateral Corner Repair With Suture Tape Augmentation Graeme P. Hopper, M.B.Ch.B., M.Sc., M.R.C.S., Christiaan H.W. Heusdens, M.D., Lieven Dossche, M.D., Gordon M. Mackay, M.D.  Arthroscopy Techniques  Volume 7, Issue 12, Pages e1299-e1303 (December 2018) DOI: 10.1016/j.eats.2018.08.018 Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 1 Left knee, lateral view. Appropriate landmarks are marked before the procedure begins, including the lateral epicondyle (1 asterisk) and the head of the fibula (2 asterisks), which are key landmarks for suture tape placement. Arthroscopy Techniques 2018 7, e1299-e1303DOI: (10.1016/j.eats.2018.08.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 2 Left knee, lateral view. A curved incision (arrowhead) passing just superior to the lateral epicondyle is used; then, 2 deep incisions (1 and 2 asterisks) are made in the iliotibial band to enable accurate suture tape placement and to permit tensioning. Arthroscopy Techniques 2018 7, e1299-e1303DOI: (10.1016/j.eats.2018.08.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 3 Left knee, lateral view. (A, B) The origin of the lateral collateral ligament is identified just proximal to the lateral epicondyle and then predrilled (1 asterisk) and tapped (2 asterisks). (C) The suture tape preloaded in the anchor is inserted (3 asterisks), with the surgeon ensuring it is flush with the cortex. Arthroscopy Techniques 2018 7, e1299-e1303DOI: (10.1016/j.eats.2018.08.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 4 Left knee, lateral view. The suture tape (1 asterisk) is shuttled from the lateral epicondyle (2 asterisks) to the head of the fibula (3 asterisks), mirroring the lateral collateral ligament. Arthroscopy Techniques 2018 7, e1299-e1303DOI: (10.1016/j.eats.2018.08.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 5 Left knee, lateral view. (A) The head of the fibula is exposed, and predrilling and tapping (1 asterisk) are performed at the lateral collateral ligament insertion point. (B) A whipstitch is inserted in the biceps tendon (2 asterisks). Arthroscopy Techniques 2018 7, e1299-e1303DOI: (10.1016/j.eats.2018.08.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 6 Left knee, lateral view. The 4.75-mm suture anchor is advanced to the end of the tap, and the laser line is marked; then, the anchor is advanced into the head of the fibula. Arthroscopy Techniques 2018 7, e1299-e1303DOI: (10.1016/j.eats.2018.08.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 7 Left knee, lateral view. (A) The repair consists of the core suture from the anchor and the whipstitch around the biceps tendon (1 asterisk). (B) Both incisions in the iliotibial band are repaired (2 and 3 asterisks). Arthroscopy Techniques 2018 7, e1299-e1303DOI: (10.1016/j.eats.2018.08.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions