Reconstructions with Tibial Slings. When and How?

Several surgical techniques have been described to treat posterolateral corner (PLC) injuries. These include advancement of the osseous attachment of the arquate ligament complex [1], proximal advancement of the posterolateral complex [2], biceps tenodesis [3], and tibial sling procedures [4]. More recently, in an attempt to address these injuries with a more anatomic perspective, other techniques have been described. Currently, the two more common groups of PLC reconstructions are considered those involving tunnels in the fibular head [5–7], and those combining this transfibular tunnel with a tibial sling [8, 9].