Anterior subluxation of the lateral tibial plateau. A diagnostic test and operative repair
| Autor: | T R Johnson, W O Southwick, R E Losee |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Subluxation
Lateral meniscus Arthrotomy medicine.medical_specialty Sling (implant) business.industry medicine.medical_treatment Lateral tibial plateau General Medicine musculoskeletal system medicine.disease Iliotibial tract Surgery medicine.anatomical_structure medicine Tears Orthopedics and Sports Medicine business Medial meniscus |
| Zdroj: | The Journal of Bone & Joint Surgery. 60:1015-1030 |
| ISSN: | 0021-9355 |
| DOI: | 10.2106/00004623-197860080-00001 |
| Popis: | Recurrent anterior subluxation of the lateral tibial plateau is a common type of chronic knee instability resulting from trauma. It can be reproduced by the clinical test described and corrected by a surgical procedure called the sling and reef operation, in which a strip of iliotibial tract is used to create a sling and to reef the posterolateral capsule. From 1971 to 1978, eighty-four patients were operated on, of whom fifty had been evaluated at one to six and one-half years after operation. The results were: forty-one good, six fair, and three poor. The lesions found in the thirty-seven knees in which arthrotomy was performed included a tear of the anterior cruciate in every case, a tear of the medial meniscus in fifteen and of the lateral meniscus in eleven, a notch in the articular surface of the lateral femoral condyle in fifteen, and a lateral marginal tibial (Segond) fracture in three. No definite lateral capsular tears were visualized--only stretching comparable to that seen in recurrent dislocation of the shoulder. |
| Databáze: | OpenAIRE |
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