Role of proximal tibio-fibular joint stability in anterior cruciate ligament reconstruction- A case report and review of literature
| Autor: | Dhananjaya Sabat, Vinod Kumar, Rakesh Sehrawat, Saurabh Dutt |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Orthodontics
030222 orthopedics Anterior cruciate ligament reconstruction business.industry medicine.medical_treatment Joint stability 030229 sport sciences musculoskeletal system medicine.disease ACL injury Cruciate ligament 03 medical and health sciences surgical procedures operative 0302 clinical medicine medicine.anatomical_structure Acl graft medicine Ligament Orthopedics and Sports Medicine Early failure Knee injuries business human activities |
| Zdroj: | Journal of Arthroscopy and Joint Surgery. 7:230-234 |
| ISSN: | 2214-9635 |
| Popis: | Among the many factors that have been described as a cause of ACL graft failure, mechanical factors such as secondary restraint laxity mostly untreated posterolateral rotatory instability have been suggested by many authors as the main cause of graft failure. Surgical reconstruction of the postero-lateral complex (PLC) and lateral collateral ligament (LCL) in combination with ACL reconstruction is recommended, since solitary reconstruction of the cruciate ligament may result in high in-situ force in the graft and early failure of ACL reconstruction. Proximal fibula being an attachment site to various structures that provides lateral and posterolateral rotatory stability to the knee, makes proximal tibio-fibular joint (PTFJ) an integral part of lateral and posterolateral ligamentous complex. Injury to PTFJ has been described in association with multi-ligament knee injuries and fractures of tibial plateau and tibial shaft. Isolated injury to this joint has been associated with various sports like wrestling, skiing, parachute jumping, soccer etc. In case of isolated injury to ACL, injury to PTFJ is often missed. We describe a case of ACL injury along with PTFJ injury, suffered during motorcycle accident. We also describe the importance of PTFJ stability in ACL reconstruction. |
| Databáze: | OpenAIRE |
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