Combined intraarticular and extraarticular anterior cruciate ligament reconstruction
作者:
Bertram Zarins,
Cris Barnthouse,
期刊:
Techniques in Orthopaedics
(OVID Available online 1988)
卷期:
Volume 2,
issue 4
页码: 60-64
ISSN:0885-9698
年代: 1988
出版商: OVID
数据来源: OVID
摘要:
A combined intraarticular and extraarticular operative procedure that can be used to treat the knee with a torn anterior cruciate ligament and functionally disabling recurrent anterior tibial subluxation is described. The procedure combines a distally based semitendinosus-tendon graft and a distally based iliotibial-tract graft. The semitendinosus tendon is passed up through an oblique drill hole in the anteromedial tibia, across the knee joint, over the top of the lateral femoral condyle (seated into a groove), and deep to the fibular collateral ligament. The iliotibial tract is passed in an identical course, but coming from the opposite direction: deep to the fibular collateral ligament, over the top of the lateral femoral condyle (into a groove), across the knee joint, and through the tibial drill hole. Both transfers are pulled tight and sutured one to the other. The posteromedial and lateral capsules are reefed.
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