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Yeatts NC, Rao AJ, Trofa DP, et al. Comparable Subjective and Objective Clinical Outcomes After Fibular or Combined Tibial-Fibular-based Reconstruction of the Posterolateral Corner of the Knee: A Systematic Review and Meta-analysis. J Am Acad Orthop Surg Glob Res Rev. 2021;5(12)doi: 10.5435/JAAOSGlobal-D-21-00181.
Yeatts, N. C., Rao, A. J., Trofa, D. P., Hong, I. S., Moorman, C. T., Piasecki, D. P., Fleischli, J. E., & Saltzman, B. M. (2021). Comparable Subjective and Objective Clinical Outcomes After Fibular or Combined Tibial-Fibular-based Reconstruction of the Posterolateral Corner of the Knee: A Systematic Review and Meta-analysis. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 5(12), . https://doi.org/10.5435/JAAOSGlobal-D-21-00181
Yeatts, Nicholas C, et al. "Comparable Subjective and Objective Clinical Outcomes After Fibular or Combined Tibial-Fibular-based Reconstruction of the Posterolateral Corner of the Knee: A Systematic Review and Meta-analysis." Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews vol. 5,12 (2021). doi: https://doi.org/10.5435/JAAOSGlobal-D-21-00181
Yeatts NC, Rao AJ, Trofa DP, Hong IS, Moorman CT, Piasecki DP, Fleischli JE, Saltzman BM. Comparable Subjective and Objective Clinical Outcomes After Fibular or Combined Tibial-Fibular-based Reconstruction of the Posterolateral Corner of the Knee: A Systematic Review and Meta-analysis. J Am Acad Orthop Surg Glob Res Rev. 2021 Dec 02;5(12). doi: 10.5435/JAAOSGlobal-D-21-00181. PMID: 34860735.
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J Am Acad Orthop Surg Glob Res Rev. 2021 Dec 02;5(12). doi: 10.5435/JAAOSGlobal-D-21-00181.

Comparable Subjective and Objective Clinical Outcomes After Fibular or Combined Tibial-Fibular-based Reconstruction of the Posterolateral Corner of the Knee: A Systematic Review and Meta-analysis.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews

Nicholas C Yeatts, Allison J Rao, David P Trofa, Ian S Hong, Claude T Moorman, Dana P Piasecki, James E Fleischli, Bryan M Saltzman

Affiliations

  1. From the OrthoCarolina-Sports Medicine Center (Dr. Yeatts, Dr. Rao, Mr. Hong, Dr. Moorman, Dr. Piasecki, Dr. Fleischli and Dr. Saltzman), Atrium Health-Musculoskeletal Institute, Charlotte, NC (Dr. Yeatts, Hong, Dr. Moorman, Dr. Piasecki, Dr. Fleischli, and Dr. Saltzman), and the Department of Orthopaedics, New York Presbyterian, Columbia University Medical Center, New York, NY (Dr. Trofa).

PMID: 34860735 DOI: 10.5435/JAAOSGlobal-D-21-00181

Abstract

INTRODUCTION: To compare subjective and objective outcomes of fibular and combined tibial-fibular (TF)-based posterolateral corner (PLC) reconstruction.

METHODS: A systematic review of literature reporting outcomes of posterolateral corner reconstruction was conducted including outcome studies of surgically treated PLC injuries with a minimum 1-year follow-up, postoperative subjective and objective outcomes including the patient-reported outcome scorings of Lysholm score, International Knee Documentation Committee evaluation (subjective and objective), dial test, and varus stress radiographs.

RESULTS: The 32 studies included comprised 40 cohorts: 12 cohorts (n = 350 knees) used a fibular-based technique, and 28 cohorts (n = 593 knees) used a combined TF-based technique. No statistically significant differences were found in patient-reported outcomes or objective clinical measurements comparing the two techniques using the Lysholm score (P = 0.204, τ2 = 3.46), International Knee Documentation Committee evaluation (subjective P = 0.21 τ2 = 15.57; objective P = 0.398), dial test (P = 0.69), or varus stress radiographs (P = 0.98, τ2 = 0.08).

CONCLUSIONS: This study found no statistically significant differences in subjective or objective clinical outcome measurements after fibular-based versus combined TF-based PLC reconstruction. Further prospective evaluation comparing long-term clinical outcomes, complications, and surgical time may help to elucidate a preferred reconstructive technique.

Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.

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