Arthroskopische tibiale und femorale 2-Bündel-Technik des hinteren Kreuzbandersatzes

Hoffmann, F.; Bäumler, U.; Reif, G.; Kinateder, Tim

doi:10.1007/s001420050118

Cited by 5 publications

(3 citation statements)

References 29 publications

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“…For the same therapeutic approach its used in our service becuasuse of the lack caused by the LCA. 14 The other aspect to discuss is the question of the surgical technique. Almost all authors relate the difficulty in the passage of the graft by the end articular tibial tunnel.…”

Section: Discussionmentioning

confidence: 99%

5 Keys to the Reconstruction Arthroscopic PCL

A¹

2015

MOJOR

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In general PCL injuries are less frequent than ACL injuries, currently it is very controversial to treat isolated lesions and combined injuries a swell. Some patients present significant symptoms and posterior joint deterioration due to instability, while others are essentially asymptomatic but maintain normal function. Not always PCL injuries are isolated, they can be associated with ACL ones, also with posterolateral complex, in this case, it adds to the posterior instability, a various instability with tibial rotation, anterior and exterior. For these instabilities it could be recommended a surgical reconstruction to restore the anatomy and the normal kinematics of the knee. The treatment is controversial and prognosis may vary greatly. In the last decade, there have been several new reconstruction techniques in the Posterior Cruciate Ligament (PCL), trying to reproduce a normal anatomy based on the original ligament. Furthermore, to reduce comorbidity, postoperative pain, surgical time and to maintain the normal knee's biomechanics we use allograft in the Achilles Tendon, obtaining a neo-ligament with the thickness and length necessary. In this study, from January of 2014 to October 2014 (10 months) in 4 patients, were held Plastia of PCL Arthroscopic with Allograft aiming to show the arthroscopic technique, which is used currently in hospital alcivar in this technique its used a dual-band femoral tunnel and juat one tibial tunnel using Tight Rope and retrograde guide, taking a look back and how has evolved surgical management since 2003 in which open technique and autologous graft HTH were used, in this study we teach the five keys to the surgical management of ruptured PCL.

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Section: Discussionmentioning

confidence: 99%

5 Keys to the Reconstruction Arthroscopic PCL

A¹

2015

MOJOR

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“…isometrischen Rekonstruktion distanziert haben. Ist kein suffizienter Bandrest mehr vorhanden bevorzugen wir die anatomische Doppelbündelrekonstruktion des HKB [24,30,53]. ¹most isometric pointª, der etwa zwischen der femoralen Insertion des anterolateralen und posteromedialen Bündels zu liegen kommt, führt in Stecknähe zu einer Überkorrektur der Instabilität und in Beugung zu einer ungenügenden Restitution der hinteren Schublade [44].…”

Section: Bevorzugte Operationstechnikenunclassified

Diagnostik und Therapie der frischen und chronischen hinteren Kreuzbandläsion: Diagnosis and treatment of acute and chronic posterior cruciate ligament insufficiency

2000

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Injuries to the posterior cruciate ligament are among the major injuries to the knee joint. Today we are often confronted with an inappropriate and delayed diagnosis of this injury and its concomitant lesions. Additionally, the outcome of operative treatment has not yet reached an acceptable rate of satisfactory results. Therefore, the goal of this current concept review is to give a comprehensive insight into anatomy and biomechanics, injury mechanisms and pathobiomechanics, based on our experiences and data from the international literature. A further goal is to clarify diagnostic problems with respect to clinical examination and imaging techniques. We also present a differential concept for the perioperative and conservative management of posterior cruciate ligament deficient knees in order to also adequately address concomitant injuries such as posterolateral rotatory instability and combined anterior cruciate ligament injuries with the aim of further improving results.

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“…Numerous surgical procedures restoring posterior and posterolateral stability have been reported, but their outcomes are still unsatisfying. Several publications point out that the early failure of an isolated PCL reconstruction can be expected if PLS remain deficient [5,7,9,12,13,22,23,28]. Establishing the correct treatment management and surgical strategy requires exact knowledge of the anatomy, functional interactions, and wide range of possible injuries to the many individual anatomical features of the PLS as well as an accurate preoperative diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Posterolateral aspect and stability of the knee joint. II. Posterolateral instability and effect of isolated and combined posterolateral reconstruction on knee stability: a biomechanical study

Krudwig¹,

Witzel

Ullrich³

2002

Knee surg. sports traumatol. arthrosc.

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This study evaluated the correlation between the number of transected posterolateral structures (PLS) and the grade of posterolateral rotational instability, determined the effect of the popliteus muscle-tendon unit on the tibial rotation, and examined the effect of an isolated posterior cruciate ligament (PCL) and combined PCL-PLS reconstruction on knee stability. Sectioning the popliteofibular and lateral collateral ligaments both caused an increase in tibial external rotation. Cutting the PT resulted in a statistically highly significant excessive external rotation and externally shifted neutral position of the tibia over the full range of motion. Tensioning the popliteus muscle-tendon unit led to a statistically highly significant internally shifted neutral tibial rotation and a decreased internal and an increased external rotation without affecting the total rotational arcs. The isolated PCL reconstruction did not affect the external rotation, whereas the combined PCL-PLS reconstruction reset the knee to nearly physiological laxity patterns.

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Arthroskopische tibiale und femorale 2-Bündel-Technik des hinteren Kreuzbandersatzes

Cited by 5 publications

References 29 publications

5 Keys to the Reconstruction Arthroscopic PCL

5 Keys to the Reconstruction Arthroscopic PCL

Diagnostik und Therapie der frischen und chronischen hinteren Kreuzbandläsion: Diagnosis and treatment of acute and chronic posterior cruciate ligament insufficiency

Posterolateral aspect and stability of the knee joint. II. Posterolateral instability and effect of isolated and combined posterolateral reconstruction on knee stability: a biomechanical study

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