Arthroscopic anterior cruciate ligament (ACL) reconstruction

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Abstract

Arthroscopic «transtibial» ACL reconstruction has been frequently employed (38 cases) in our clinic practice since 1994. Details of the operative technique, special surgical instruments, post-opetative management and rehabilitation are described. Of all available grafts, we prefer free autografts from the middle third of the contralateral patellar ligament, with bone blocks at both ends (bone-tendon-bone). Our experience confirms the advatages of intracanal fixation with interference screws over the methods. Long term follow-up was available in 33 of the 38 patients, of which 32 had good or excellent results and one with an unsatisfactory outcome. This method can be recommended for the patient with an ACL deficient knee.

About the authors

G. D. Lazishvili

Russian State Medical University

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

V. V. Kuzmenko

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

S. G. Girshin

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

V. E. Dubrov

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

S. M. Grishin

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

O. E. Novikov

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

References

  1. Клименко Г.С. Диагностика и оперативное лечение свежих разрывов капсульно-связочного аппарата коленного сустава: Автореф. дис.... д-ра мед. наук. — М., 1992.
  2. Никитин В.В. Клиника и хирургическая тактика при повреждениях капсульно-связочного аппарата коленного сустава: Автореф. дис.... д-ра мед. наук. — Уфа, 1985.
  3. Лисицын М.П. Артроскопическая диагностика и лечение острых и хронических повреждений капсульносвязочного аппарата коленного сустава у спортсменов: Автореф. дис.... канд. мед. наук. — М., 1995.
  4. Alm A., Gillguist J. //Acta Chir. Scand. — 1974. — Vol. 140. — P. 289—296.
  5. Amoczky S.P. et al. //J. Bont Jt Surg. — 1982. — Vol. 64A, N 2. — P. 217—224.
  6. Butler D.L. //J. Orthop. Res. — 1989. — Vol. 7, N 6. — P. 910—921.
  7. Clancy W.G. et al. //J. Bone Jt Surg. — 1981. — Vol. 63A, N 8. — P. 1270—1284.
  8. Clancy W.G. et al. //Ibid. — 1982. — Vol. 64A, N 3. — P. 352—359.
  9. De Haven K. //Amer. J. Sports Med. — 1980. — N 8. — P. 9—14.
  10. Eriksson E. //Orthop. Clin. N. Amer. — 1976. — N 7. — P. 167—179.
  11. Furman W., Marshall J.L., Girgis F.G. //J. Bone Jt Surg. — 1976. — Vol. 58A, N 2. — P. 179—184.
  12. Jones K.G. //Ibid. — 1963. — Vol. 45A, N 6. — P. 925— 933.
  13. Kurosaka M. et al. //Amer. J. Sports Med. — 1987. — N 15. — P. 225—229.
  14. Muhr G. Kapsel-Band-Verletzungen des Kniegelenks: Diagnostik fibel. — Berlin etc., 1984.
  15. Norwood L.A., Cross M.J. //Amer. J. Sports Med. — 1977. — N 5. — P. 171—176.
  16. Noyes F.R. et al. //J. Bone Jt Surg. — 1984. — Vol. 66A, N 3. — P. 344—352.
  17. Siliski J.M. et al. Traumatic Disorders of the knee. — New York, Berlin etc., 1994. — P. 431.
  18. Spenser E.E. et al. //Knee Surg. Sports Traum. Arthroscopy. -— 1996. — Vol. 4, N 2. — P. 84—88.

Supplementary files

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2. Fig. 1. The layout of the guide for the formation of the tibial canal.

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3. Figure 2. The layout of the guide for the formation of the femoral canal. Figure 3. Scheme of the formation of the femoral canal. Figure 4. Scheme of fixation of bone blocks of the autograft with interference screws.

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