Enxerto do tendão fibular longo na reconstrução do canto posterolateral do joelho

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Abstract: The posterolateral corner is critical to knee stability. Neglected injuries have a direct impact on the prognosis due to residual instability, chronic pain, deformities, and failure to repair other structures. Several techniques are used to reconstruct the posterolateral corner, often with autologous ischiotibial grafts or homologous grafts. An option little used for knee ligament reconstructions is the peroneus longus tendon graft. Although reported as a good alternative for anterior cruciate ligament reconstruction, we found no case using a peroneus longus tendon graft for posterolateral corner reconstruction. Here, we describe the case of a patient who underwent a non-anatomical reconstruction of the posterolateral corner using a peroneus longus tendon graft. The patient underwent surgical procedures for ligament reconstruction and correction of the deformity caused by a failed graft, but his knee remained unstable. During the preoperative planning, it was decided to reconstruct the posterolateral corner with an ipsilateral peroneus longus tendon graft. Studies have shown that the peroneus longus tendon graft does not increase ankle morbidity, and that its length and diameter favor ligament reconstruction. Thus, the present article highlights the importance of the proper diagnosis of ligament injuries in the acute phase, and describes a new technique for posterolateral corner reconstruction that must be included in the surgeon's body of knowledge, increasing the amount of technical options.

Alternative title: Peroneus Longus Tendon Graft to Reconstruct the Posterolateral Corner of the Knee

Location: Deutsche Nationalbibliothek Frankfurt am Main

Extent: Online-Ressource

Language: Portugiesisch

Bibliographic citation: Enxerto do tendão fibular longo na reconstrução do canto posterolateral do joelho ; day:20 ; month:12 ; year:2021
Revista Brasileira de ortopedia ; (20.12.2021)

Contributor: Oliveira, Diego Escudeiro de
Horita, Melanie Mayumi
Salas, Victor Eduardo Roman
Severino, Fabricio Roberto
Guglielmetti, Luiz Gabriel Betoni
Jorge, Pedro Baches

DOI: 10.1055/s-0041-1724085

URN: urn:nbn:de:101:1-2022020409155381679919

Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.

Last update: 15.08.2025, 7:39 AM CEST

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Oliveira, Diego Escudeiro de
Horita, Melanie Mayumi
Salas, Victor Eduardo Roman
Severino, Fabricio Roberto
Guglielmetti, Luiz Gabriel Betoni
Jorge, Pedro Baches

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Enxerto do tendão fibular longo na reconstrução do canto posterolateral do joelho

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