S/P Lateral Posterior Lateral Corner Reconstruction

Definition:
The posterolateral corner (PLC) of the knee is a complex area of the knee formed by the interaction of multiple structures. Injuries to the posterolateral corner can be debilitating to patients and require prompt recognition and treatment to avoid long term consequences. Injuries to the PLC often occur in combination with other ligamentous injuries to the knee; most commonly the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). The structures considered for potential reconstruction are the fibular collateral ligament, popliteus tendon, and popliteofemoral ligament. The FCL and/or popliteus tendon are only considered for acute repair when they are avulsed off bone and can be reattached anatomically with the knee in extension. The PFL can be repaired when it is torn directly off of the fibular head and the popliteus is still intact.
Purchase 3 Phases

Symptoms
  • Pain in the knee
  • Instability in the knee
  • Usually accompanied with an ACL or PCL tear
Causes
  • Hyperextension injury (contact or non-contact)
  • Direct trauma to the anteromedial knee
  • Noncontact varus force to the knee
Treatment
  • Period of immobilization
  • Knee ROM and strengthening exercises
  • Correct gait mechanics
  • Lower extremity strengthening
S/P Lateral Posterior Lateral Corner Reconstruction Phase I

Purchase Phase

  • Crutch Walking
  • Patella Mobilization
  • Ankle Pumps
  • Quad Sets
  • Straight Leg Raise
  • Clams
  • Prone Glute Max Knees Bent
  • Heel Slides
  • Passive Knee Extension
  • Vmo Sets 30 60 90
  • SP Lateral Posterior Lateral Corner Reconstruction
  • Weight Bearing Restrictions
  • DVT Clot Instructions

S/P Lateral Posterior Lateral Corner Reconstruction Phase II

Purchase Phase

  • Step Overs
  • Single Leg Wall Sit
  • Straight Leg Bridge
  • Lunge Matrix
  • Stationary Bike
  • Single Leg Speed Skater
  • Adductor Straddle
  • Lotus
  • Sit On Feet
  • Passive Knee Extension
  • Gait II

S/P Lateral Posterior Lateral Corner Reconstruction Phase III

Purchase Phase

  • Step Overs
  • Lunge Matrix
  • Speed Skaters
  • Single Leg Sit Up Squat
  • 3-Dot Squat 2 Hands
  • Single Leg Lateral Box Jump
  • Single Leg Hop On Dina Disc
  • Single Leg Tuck Jump