Anatomic Fibular Collateral Ligament and Anterior Cruciate Ligament Reconstruction With Concomitant Biceps Femoris Avulsion Repair

Background: Injuries to the fibular collateral ligament (FCL) seldom occur in isolation and may present with a concomitant injury biceps femoris tendon anterior cruciate (ACL). structures of posterolateral corner (PLC) lead varus rotational instability knee, subjecting ligaments increased forces that result graft failure. Therefore, reconstruction these should be performed concurrently ACL. Indications: Grade III FCL injuries heal poorly without operative treatment often residual knee increases medial compartment forces, on both native ACL status post reconstruction. preservation biomechanical stability long-term health are reliant addressing PLC surgically. Technique Description: A key concept this surgical technique is meticulous peroneal nerve neurolysis setting altered anatomy, proper order steps for tunnel creation, passage, fixation suture anchor insertion achieve optimal patient outcomes. The described involves lateral approach, neurolysis, preparation femoral tunnels, followed by Bone-patellar tendon-bone (BTB) harvest. Attention then turned intra-articular work including diagnostic arthroscopy, tibial preparation, passage graft, grafts tunnels. Last, achieved following order: fibula, tibia, head. Results: Compared preoperative state, Moulton et al reported significant improvements average Lysholm Western Ontario scores at 2.7 years postoperatively anatomic reconstrution. Furthermore, Thompson primary repair distal 22 elite athletes all patients had returned their preinjury level sporting activity 2-year follow-up. Discussion: Anatomic reconstructions ACL, such as one our technique, effectively restore near biomechanics offer superior clinical outcomes compared nonanatomic-based reconstructions. Patient Consent Disclosure Statement: author(s) attests consent has been obtained from any patient(s) appearing publication. If individual identifiable, included statement release or other written form approval submission