Arthroscopic suture bracing of posterior cruciate ligament in a multiple ligament knee injury – A technical report
| Autor: | Gerald Zimmermann, André Chakraborty, Jonas Scheck |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_treatment Knee flexion Posterior crucial ligament lcsh:Surgery LCL lateral collateral ligament Case Report Critical Care and Intensive Care Medicine a.p. anterior posterior 03 medical and health sciences 0302 clinical medicine Suture (anatomy) STSD side-to-side differences Medicine Orthopedics and Sports Medicine Ligament knee injury Orthodontics 030222 orthopedics Rehabilitation Multiligamental knee injury business.industry 030208 emergency & critical care medicine lcsh:RD1-811 equipment and supplies musculoskeletal system PCL bracing Brace Bracing Conservative treatment medicine.anatomical_structure PMB posteromedial bundle PCL posterior cruciate ligament Posterior cruciate ligament Emergency Medicine business PLC posterolateral complex human activities MCL medial collateral ligament ALB anterolateral bundle |
| Zdroj: | Trauma Case Reports, Vol 25, Iss, Pp-(2020) Trauma Case Reports |
| ISSN: | 2352-6440 |
| Popis: | The optimum therapy of a torn PCL in multiligamental-injured knees is controversially discussed in literature. As conservative treatment and PCL reconstruction alone mostly lead to long-term immobilization, we performed a single stage PCL bracing with ACL reconstruction using ACL TightRopes® and Fiber-/TigerTapes® to accelerate back-to-sport after multiligamental knee injury with bicrucial tears. The brace consisted of two FiberTapes which were looped in an ACL TightRope and transosseously fixed with a Dog Bone-Button®. The ACL reconstruction was performed by a fourfolded semitendinosus graft in TightRope® technique. We chose an active rehabilitation-protocol with immediately allowed knee flexion to 90° in an ACL brace. This led to excellent results with resumption of sports after 6 months and good subjective and objective knee stability measured with a KT-1000. Our results hint that our method of bracing a torn PCL in multiligamental knee injuries may lead to faster rehabilitation with comparable knee stability. Keywords: Posterior crucial ligament, PCL bracing, Multiligamental knee injury |
| Databáze: | OpenAIRE |
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