Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the 'Forgotten' Transseptal Approach
| Autor: | Johannes Barth, Paul Brossard, Jean-Claude Panisset, Achilleas Boutsiadis, Frédéric Mauris |
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| Rok vydání: | 2017 |
| Předmět: |
Orthopedic surgery
musculoskeletal diseases 030222 orthopedics medicine.medical_specialty business.industry Posterior Cruciate Ligament Reconstruction 030229 sport sciences musculoskeletal system Neurovascular bundle Surgery Tendon 03 medical and health sciences Fixation (surgical) 0302 clinical medicine medicine.anatomical_structure Posterior cruciate ligament Technical Note medicine Tears Orthopedics and Sports Medicine Hamstring Tendons Graft fixation business RD701-811 |
| Zdroj: | Arthroscopy Techniques, Vol 6, Iss 4, Pp e979-e985 (2017) Arthroscopy Techniques |
| ISSN: | 2212-6287 |
| Popis: | Posterior cruciate ligament (PCL) ruptures account for nearly 20% of all ligamentous knee injuries. These may be either isolated or in the setting of a more complex knee trauma. Isolated tears with moderate posterior laxity (grades I or II) are commonly treated conservatively; nevertheless, symptomatic grade III injuries frequently require surgical intervention. PCL reconstruction remains a challenging surgery for multiple reasons like the neurovascular structures' proximity, the difficult passage of the graft with the "killer turn" angle, or the risk of poor graft fixation. We describe an all-inside operative technique using hamstrings tendon autografts with tibial and femoral adjustable buttons cortical fixation and the visualization of the posterior transseptal portal. |
| Databáze: | OpenAIRE |
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