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54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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Operative treatment of complex knee instabilities

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  • corresponding author J. Richter - Orthopädische Klinik Markgröningen, Abteilung für Sportorthopädie, Markgröningen
  • S. Jehmlich - Markgröningen
  • R. Frascaria - Markgröningen

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novP07

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/nov2005/05nov058.shtml

Published: June 13, 2005

© 2005 Richter et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

The diagnosis and surgical treatment of complex knee instabilities remain a challenge to the surgeon because of ist complexity.

The incidence for PCL ruptures is estimated in literature to be 4000 - 5000 per year in Germany.

Our present study shows preliminary results of three different arthroscopically treated groups all including PCL ruptures.

Group 1 consists of PCL injuries which were primarily treated with a conservative approach with individualized K-COM orthosis (Fa. Ortema) in PCL version and failed. Subsequently, they were treated arthroscopic autologous hamstring stabilization.

Group 2 includes PCL and lateral collateral ligament lesions.

Group 3 consists of PCL, LCL and ACL injuries.

The latter two groups were treated in a two step approach. First, conservative therapy with a knee orthesis followed by arthroscopic surgery with PCL and LCL - or PCL, LCL and ACL reconstruction

The clinical evaluation includes the reverse pivot shift test, the posterolateral drawer test, measurements with the Rolimeter (Fa.Aircast), conventional x-rays including stress x-rays in 90° of flexion and MRI.

We present the clinical diagnosis, surgical technique, rehabilitation program and preliminary results of all three groups.