Dr. Amit will assess the patient’s knee alignment with a long leg x-ray.
Dr. Amit usually recommends a combined hybrid approach of repair for
those repairable structures and a reconstruction of midsubstance tears
of the posterolateral corner for acute injuries; while in chronic
injuries he generally performs a posterolateral reconstruction.
In chronic injuries, there is a very high risk of having any soft tissue
posterolateral reconstruction stretch out in the face of varus
alignment. Thus, for chronic posterolateral knee injuries, it is
recommended to perform a proximal tibial opening wedge osteotomy, first,
and to have the osteotomy heal, then assess if they still have
functional limitations after the osteotomy heals.