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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 10, 1364-1368.
doi: 10.1302/0301-620X.87B10.16536  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The insertion geometry of the posterolateral corner of the knee

J.-M. Brinkman, MD, Orthopaedic Resident1; P. J. A. Schwering, MD, Orthopaedic Surgeon2; L. Blankevoort, PhD, Engineer3; J. G. Koolos, PhD, Anatomist4; J. Luites, Researcher1; and A. B. Wymenga, MD, PhD, Orthopaedic Surgeon1

1 Department of Orthopaedics, St. Maartenskliniek, P. O. Box 9011, 6500 GM Nijmegen, The Netherlands.
2 Department of Orthopaedics, Canisius-Wilhelmina Hospital, P. O. Box 9015, 6500 GS, Nijmegen, The Netherlands.
3 Orthotrauma Research Center, Academic Medical Center, P. O. Box 22660, 1100 DD, University of Amsterdam, Amsterdam, The Netherlands.
4 Department of Anatomy and Embryology, University of Nijmegen, P. O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

Correspondence should be sent to Dr A. B. Wymenga; e-mail: a.wymenga{at}maartenskliniek.nl

We have quantitatively documented the insertion geometry of the main stabilising structures of the posterolateral corner of the knee in 34 human cadavers. The lateral collateral ligament inserted posterior (4.6 mm, SD 2) and proximal (1.3 mm, SD 3.6) to the lateral epicondyle of the femur and posterior (8.1 mm, SD 3.2) to the anterior point of the head of the fibula. On the femur, the popliteus tendon inserted distally (11 mm, SD 0.8) and either anterior or posterior (mean 0.84 mm anterior, SD 4) to the lateral collateral ligament. The popliteofibular ligament inserted distal (1.3 mm, SD 1.2) and anterior (0.5 mm, SD 2.0) to the tip of the styloid process of the fibula.

The ligaments had a consistent pattern of insertion and, despite the variation between specimens, the standard deviations were less than the typical size of drill hole used in reconstruction of the posterolateral corner. The data provided in this study can be used in the anatomical repair and reconstruction of this region of the knee.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General