In this article, we have described our technique to reconstruct the LCL anatomically with an implant free fixation at the fibular head. The anatomic reconstructions have shown to restore near normal knee biomechanics and are now the preferred treatment of choice. Various reconstruction techniques with a multitude of graft options have been described and validated. The possibility of repairing and reconstructing these tears have been explored with the reconstructions clearly doing better than the repairs. Hence, it is important to diagnose and treat these tears appropriately to avoid these setbacks. LCL deficiency increases the stress on the anterior or posterior cruciate ligament reconstruction leading to high failure rates. In the acute setting, these injuries cause significant disability and eventually patients develop a varus thrust gait with increased medial compartment loading. Good healing rates are observed in conservatively treated grade 1 and grade 2 tears, but grade 3 tears heal poorly resulting in instability. The mechanism of injury is usually direct varus impact, hyperextension, or twisting injuries of the knee. Isolated LCL injuries are a rarity and usually occur in association with other ligamentous injuries like the cruciate ligaments and other PLC ligaments.
However, extensive researches done during the last few decades have led to better comprehension and innovative reconstruction techniques. Injuries to this region notoriously had poor results due to the gap in understanding anatomy and possible treatment options. The PLC, alluded as the dark side of knee, was poorly understood. Clip tag end close.The fibular lateral collateral ligament (LCL) is an important component of posterolateral corner (PLC) of the knee and is the primary varus stabilizer. Pull on both the standing line and tag end to tighten knot down onto eye.Holding overhand knot between thumb and forefinger, pass loop of line over the hook.Tie a loose overhand knot with hook hanging from bottom.Alternately, for small hook eyes, pass end of line through hook eye once, then double back and pass end of line through hook eye again from opposite direction, leaving about six inches of doubled line outside the hook eye. Double 6 inches of line and pass end of loop through eye of hook.Scroll to see Animated Palomar Knot below the illustration and tying instructions. The Palomar Knot is one of 12 great fishing knots included on the Pro-Knot Fishing Knot Cards (click to see). Due to the durability of the bait you might not think to retie your knot as often and the Palomar will probably hold up to more fish catching abuse than other knots. The Palomar Knot is a good choice when fishing the popular Ned Rig with ElaZtech bait such as a Z-Man TRD bait. This is also the best knot to use with braided fishing line. The knot can fail if tied in that manner. Many depictions of this knot elsewhere make it look like the loop part of the knot goes up against the bottom of the eye of the hook or lure. Be sure that when the hook or lure is passed through the loop that all parts of the knot cinch up together. Palomar Knot comes close to being a 100% knot when tied properly. The single best fishing knot? Many fishermen believe that the Palomar Knot holds that title. Home Fishing Knots Palomar Knot Palomar Knot