Surgical treatment of cruciate ligament injuries of the knee joint (retrospective analysis)

Clinical analysis of operative treatment of cruciate ligament ruptures based on forty years experience is presented. During the period from 1962 to 1982 lavsan prosthetic material for the plastic reconstruction of cruciate ligaments was widely used at Sports and Ballet Injury Clinic. Histologic, morphologic, clinical and roentgenologic investigations were performed and data on readaptation of lavsan prosthesis within intrasynovial medium were obtained. Starting from 1983 autoplasty for the restoration of joint stability has been elaborated and introduced into practice. Active dynamic stabilizing operation for chronic posttraumatic knee instability is worked out. Principles of static stabilizing operation on the knee are elaborated. Detailed description of various modifications for knee surgery is presented. The disadvantages of certain surgical techniques and the ways of their avoidance are given. Special attention is paid to arthroscopic intervention. Specific protocol and preventive measures to improve the efficacy of treatment are noted.