ABSTRACT
The article is dedicated to the method of roentgenological diagnostics, developed at military traumatology and orthopaedics department of the S.M. Kirov Military medical academy, which allows objectively assessing degree of knee joint instability in consequence of anterior cruciform ligamentous disruption.
Subject(s)
Anterior Cruciate Ligament/diagnostic imaging , Knee Injuries/diagnostic imaging , Military Medicine/methods , Military Personnel , Adult , Anterior Cruciate Ligament/surgery , Humans , Knee Injuries/surgery , Male , Middle Aged , Orthopedic Procedures , RadiographyABSTRACT
To identify the reasons for the high rate of revision operations after primary reconstruction of the anterior cruciate ligament analyzed the causes of recurrent anterolateral rotary instability of the knee in the military personnel. From 208 operations (2006-2011) performed according to transtibial method in 21 cases (10, 1%) recurrence of instability, requiring revision joint stabilization . From 484 reconstructions of the anterior cruciate ligament (2011-2015) according to transportal anatomical reconstruction technique revision performed in 11 cases (2.3%). It was established that the main cause of recurrent anterolateral rotary instability were non-anatomical bone channels conduction and violation of the physical exertion during the recovery period.
Subject(s)
Anterior Cruciate Ligament Reconstruction , Anterior Cruciate Ligament , Reoperation , Anterior Cruciate Ligament/surgery , Humans , Joint Instability/surgery , Military PersonnelABSTRACT
The aim of the study was to determine the cause of the high frequency of meniscal tear coexisting rupture of the anterior cruciate ligament of the knee joint and to establish an optimal timing of surgical stabilization of the knee joint. Medical records of 476 patients who had surgery at the clinic of the Kirov Military Traumatology and Orthopedics of Military Medical Academy were studied. In 82 patients operation on the reconstruction of the anterior cruciate ligament was perormed in the early period after injury (up to 6 weeks), 347 patients were operated within a period exceeding 6 weeks. It was revealed that the soldiers who had the operation in the period after 6 weeks from the date of injury, secondary damage of meniscus and articular cartilage occured twice as much as in surgery performed during the acute phase. Thus, the reconstruction of the anterior cruciate ligament should be carried out in a specialized epartment in the early stages after injury, when not yet any secondary damage to the meniscus and articular cartilage.