By Gregory C. Fanelli M.D. (auth.), Gregory C. Fanelli (eds.)
The a number of Ligament Injured Knee: a pragmatic consultant to administration includes the main constructed wisdom had to effectively diagnose and deal with knee ligament accidents. This new version expands upon the 1st to provide anterior and posterior cruciate and collateral ligament anatomy and biomechanics, besides non-invasive equipment for diagnosing the level of harm, comparable to radiographic and arthroscopic overview. quite a few accidents are mentioned in addition to worthwhile remedy ideas, together with arthroscopic reconstruction, posterolateral and posteromedial nook harm and therapy, evaluation and remedy of vascular accidents, review and therapy of nerve accidents, rehabilitation, and post-operative effects. every one of those truly written chapters is followed by means of a wealth of line drawings and pictures that show either the surgical and non-surgical ways to exam and therapy. The a number of Ligament Injured Knee, moment Edition, is still the one publication out there devoted exclusively to this advanced kind of injury.
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Extra resources for The Multiple Ligament Injured Knee: A Practical Guide to Management
001). No Biomet graft-tensioning boot was used in this series of patients. This study demonstrates that combined ACL/PCL instabilities can be successfully treated with arthroscopic reconstruction and the appropriate collateral ligament surgery. Statistically, significant improvement was noted from the preoperative condition at 2–10-year follow-up using objective parameters of knee ligament rating scales, arthrometer testing, stress radiography, and physical examination. Our results of multiple ligament injured knee treatment using mechanical graft tensioning are outlined below .
In full extension, the ACL absorbs 75% of the anterior translation load and 85% between 30 and 90° of flexion . Loss of the ACL leads to a decreased magnitude of this coupled rotation during flexion and an unstable knee. Many studies have been performed to determine the biomechanical properties of the ACL. However, uniform testing with regard to strain rates and orientation is impossible. Several recent studies have demonstrated that the anterior bundles (both medial and lateral) have higher maximum stress and strain than the posterior bundles .
Anatomic, functional, and experimental analysis. Clin Orthop. 1975;106:216–31. 15. Lopes OV, Ferretti M, Shen W, Ekdahl M, Smolinski P, Fu FH. Topography of the femoral attachment of the posterior cruciate ligament. J Bone Joint Surg Am. 2008;90:249–55. 16. Tajima G, Nozaki M, Iriuchishima T, et al. Morphology of the tibial insertion of the posterior cruciate ligament. J Bone Joint Surg Am. 2009;91:859–66. 17. Vladimirov B. Arterial sources of blood supply in the knee joint in man. Acta Med. 1968;47:1–10.
The Multiple Ligament Injured Knee: A Practical Guide to Management by Gregory C. Fanelli M.D. (auth.), Gregory C. Fanelli (eds.)