RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT - A NEW POSITIONING AND FIXATION TECHNIQUE

被引：17

作者：

WIRTH, CJ ^{[1
]}

KOHN, D ^{[1
]}

机构：

[1] MED CH HANNOVER,ORTHOPAD KLIN,ANNASTIFT EV,HEIMCHENSTR 1-7,W-3000 HANOVER 61,GERMANY

来源：

AMERICAN JOURNAL OF SPORTS MEDICINE | 1990年 / 18卷 / 02期

关键词：

D O I：

10.1177/036354659001800208

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A new technique for ACL reconstruction is presented. The middle third of the patellar tendon is anchored to the inner surface of the lateral femoral condyle under direct visual control. The transplant is fixed tibially beneath a bone block removed from the ventral tibial head. Thirty-three patients were evaluated preopera tively and 27 months (range, 24 to 30 months) post operatively. The mean preoperative function score (Lysholm scoring scale) was 72 ± 14 points; the mean postoperative score was 84 ± 13 points. The Lachman test was positive for all patients preoperatively, but the test results in the postoperative follow-up examination were negative—1+ in 31 knees and 2+ in 2 knees. All 33 knees elicited a definite “hard” end point. The post operative KT-1000 measurement for anterior tibial dis placement showed no significant difference between the operated versus the unoperated knee. Before their knee injury all patients had been engaged in sports. At the follow-up examination, 13 patients had made a full return to their former sports activities, 13 were re stricted in their sports activities, and 7 patients no longer participated in sports. © 1990, SAGE Publications. All rights reserved.

引用

页码：154 / 159

页数：6

共 37 条

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