Figueroa Francisco, Figueroa David, Putnis Sven, Guiloff Rodrigo, Caro Patricio, Espregueira-Mendes João
Clinica Alemana-Universidad del Desarrollo, Santiago, Chile.
Hospital Sotero del Rio, Santiago, Chile.
EFORT Open Rev. 2021 Aug 10;6(8):676-685. doi: 10.1302/2058-5241.6.200096. eCollection 2021 Aug.
Limited knowledge of the anatomy and biomechanics of the posterolateral corner (PLC) of the knee, coupled with poor patient outcomes with non-operative management, resulted in the PLC often being labelled as the 'dark side' of the knee. In the last two decades, extensive research has resulted in a better understanding of the anatomy and function of the PLC, and has led to the development of anatomic reconstructions that have resulted in improved patient outcomes.Despite considerable attention in the clinical orthopaedic literature (nearly 400 articles published in the last decade), a standardized algorithm for the diagnosis and treatment of the PLC is still lacking, and much controversy remains.Considering the literature review, there is not a reconstruction technique that clearly prevails over the others. As anatomic, biomechanical, and clinical knowledge of PLC injuries continues to progress, finding the balance between re-creating native anatomy and safely performing PLC reconstruction provides a big challenge. Treatment decisions should be made on a case-by-case basis. Cite this article: 2021;6:676-685. DOI: 10.1302/2058-5241.6.200096.
对膝关节后外侧角（PLC）解剖学和生物力学的了解有限，再加上非手术治疗的患者预后不佳，导致PLC常被视为膝关节的“黑暗面”。在过去二十年中，广泛的研究使人们对PLC的解剖结构和功能有了更好的理解，并推动了解剖重建技术的发展，从而改善了患者的预后。尽管临床骨科文献对此给予了相当多的关注（过去十年发表了近400篇文章），但仍缺乏用于PLC诊断和治疗的标准化算法，争议仍然很大。考虑到文献综述，没有一种重建技术明显优于其他技术。随着对PLC损伤的解剖学、生物力学和临床知识的不断进步，在恢复原生解剖结构和安全进行PLC重建之间找到平衡是一项巨大的挑战。治疗决策应根据具体情况做出。引用本文：2021；6：676 - 685。DOI：10.1302/2058 - 5241.6.200096。
