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J Am Acad Orthop Surg, Vol 8, No 2, March/April 2000, 97-110.
© 2000 the American Academy of Orthopaedic Surgeons
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Acute and Chronic Posterolateral Rotatory Instability of the Knee

Frank S. Chen, MD, Andrew S. Rokito, MD and Mark I. Pitman, MD

Dr. Chen is Chief Resident Physician, Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York. Dr. Rokito is Assistant Director, Sports Medicine Service, Department of Orthopaedic Surgery, Hospital for Joint Diseases. Dr. Pitman is Director, Sports Medicine Service, Department of Orthopaedic Surgery, Hospital for Joint Diseases.

Reprint requests: Dr. Chen, Department of Orthopaedic Surgery, Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003.

Isolated posterolateral rotatory instability of the knee is an uncommon injury pattern that may result in significant degrees of functional disability. This injury complex can be a challenging diagnostic and therapeutic problem for the orthopaedic surgeon. The presence of associated ligamentous and soft-tissue injuries, resulting in combined instability patterns, further complicates management. The results of recent research have enhanced our understanding of the complex anatomy and biomechanics of the posterolateral aspect of the knee. Numerous surgical techniques have been described for both repair and reconstruction of the injured posterolateral structures; however, long-term functional results have been only moderately successful.




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