Restorative-reconstructive surgery of the bursal-ligamentous apparatus in chronic lateral instability of the knee joint
Remizov, V.B.
Ortopediia Travmatologiia i Protezirovanie 9: 1-6
1990
ISSN/ISBN: 0030-5987 PMID: 2095506 Document Number: 348142
Restorative-reconstruction operations for treatment of chronic lateral instability of knee joint have been worked out. Chronic lateral anterior varus instability is eliminated by restoration of anatomy and biomechanics of anterior cruciate ligament and restructuring of peripheral part of the bursal-ligamentous apparatus by means of creation of fibular lateral ligament and 3 derotators (1 active and 2 passive ones). This operation is indicated as well in case of grave anterolateral instability. Instability of posterior types is treated by reconstruction of precise structure and function of posterior cruciate ligament and restructuring of peripheral part of medial or lateral sections of the bursal-ligamentous apparatus (it depends upon the nature of damage) by creation of active and passive derotators.