Ligament-Bracing des hinteren Kreuzbands: Operationstechnik

Translated title of the contribution: Ligament bracing of the posterior cruciate ligament: Operation technique

A. Achtnich, A. B. Imhoff, A. Schmitt, K. Beitzel

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: The aim of arthroscopic bracing is the reconstruction of knee joint stability by primary augmentation using a stable suturing system. Indications: Indications are acute posterior cruciate ligament (PCL) lesions isolated or combined in cases of multiligament injuries associated with knee joint dislocations of Schenk types III and IV and if relevant concomitant intra-articular injuries must be addressed. Methods: The femoral and tibial footprints are arthroscopically prepared. Placement of both tunnels is carried out via PCL targeting devices. The femoral fixation of the augmentation system can be extracortical via a button or intra-articular with a suture anchor placed in the center of the PCL insertion. Tibial fixation has to be performed in a minimum of 80° of flexion and under permanent anterior drawer tension. Rehabilitation: Wear an orthosis in full extension with posterior tibial support 24 h per day, range of movement (ROM) maximum 90° and limited weight-bearing with 20 kg for 6 postoperative weeks. After 7 weeks weight bearing can be increased, ROM can be increased and a solid frame orthosis with posterior support is worn.

Translated title of the contributionLigament bracing of the posterior cruciate ligament: Operation technique
Original languageGerman
Pages (from-to)138-141
Number of pages4
JournalArthroskopie
Volume30
Issue number2
DOIs
StatePublished - 1 Jun 2017

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