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Posterior cruciate ligament injuries and arthroscopic reconstruction method

Year 1998, Volume: 32 Issue: 5, 429 - 438, 11.09.2006

Mehmet Binnet Ilksen Gurkan

Abstract

Arthroscopic posterior cruciate ligament (PCL) reconstruction is a technically demanding procedure. However, not all patients with PCL injury require reconstruction. We reconstruct the PCL, when there is significant posterior instability or associated ligamentous injury. Bone-patellar tendon-bone autograft or allograft or Achilles tendon allograft can be used for PCL reconstruction. Here we outline our arthroscopic technique for reconstruction. Posterior cruciate ligament-specific drill guides and the use of accessory arthroscopy portals assist in reconstruction. Fluoroscopic guidance is useful in tibial tunnel placement. An isometer is used to determine the correct femoral tunnel placement. The graft passage is eased by the use of a cerclage wire as a pulley. Finally, the graft is fixed in full extension. Attention to the technical surgical details of PCL reconstruction will increase the probability of success.

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Arka çapraz bağ yaralanmaları ve artroskopik tamir yöntemleri

Year 1998, Volume: 32 Issue: 5, 429 - 438, 11.09.2006

Mehmet Binnet Ilksen Gurkan

Abstract

Artroskopik arka çapraz bağ yaralanması teknik olarak güç bir girişimdir. Ancak arka çapraz bağ lezyonu olan her hastada da ameliyat endikasyonu yoktur. Rekonstrüksiyon belirgin instabilite veya ek bağ lezyonları olan hastalarda gereklidir. Greft seçiminde kemik-patellar tendon-kemik otogrefti veya allogrefti veya Asil tendonu allogrefti kullanılabilir. Rekonstrüksiyonda kendi artroskopik deneyimimiz anlatılmıştır. Arka çapraz bağ için özel dril ve artroskopik ponal kullanımı gereklidir. Skopi kılavuzluğu tibial tünel hazırlanmasında gereklidir. Femoral tünel hazırlanmasında izometre kullanımı lokalizasyonun doğru tayin edilmesi açısından önemlidir. Serklaj teli yardımı ile greftin hazırlanan tünellerden geçirilmesi kolaylaştırılır. Son olarak greft ekstansiyonda gergin olarak tesbit edilir. Cerrahinin başarısı ameliyatın her safhasında tekniğe özen gösterilmesi ile artar.

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Details

Primary Language English
Journal Section Review
Authors

Mehmet Binnet This is me

Ilksen Gurkan This is me

Publication Date September 11, 2006
Published in Issue Year 1998 Volume: 32 Issue: 5

Cite

APA Binnet, M., & Gurkan, I. (2006). Posterior cruciate ligament injuries and arthroscopic reconstruction method. Acta Orthopaedica Et Traumatologica Turcica, 32(5), 429-438. https://doi.org/10.3944/aott.v32i5.2298
AMA Binnet M, Gurkan I. Posterior cruciate ligament injuries and arthroscopic reconstruction method. Acta Orthopaedica et Traumatologica Turcica. September 2006;32(5):429-438. doi:10.3944/aott.v32i5.2298
Chicago Binnet, Mehmet, and Ilksen Gurkan. “Posterior Cruciate Ligament Injuries and Arthroscopic Reconstruction Method”. Acta Orthopaedica Et Traumatologica Turcica 32, no. 5 (September 2006): 429-38. https://doi.org/10.3944/aott.v32i5.2298.
EndNote Binnet M, Gurkan I (September 1, 2006) Posterior cruciate ligament injuries and arthroscopic reconstruction method. Acta Orthopaedica et Traumatologica Turcica 32 5 429–438.
IEEE M. Binnet and I. Gurkan, “Posterior cruciate ligament injuries and arthroscopic reconstruction method”, Acta Orthopaedica et Traumatologica Turcica, vol. 32, no. 5, pp. 429–438, 2006, doi: 10.3944/aott.v32i5.2298.
ISNAD Binnet, Mehmet - Gurkan, Ilksen. “Posterior Cruciate Ligament Injuries and Arthroscopic Reconstruction Method”. Acta Orthopaedica et Traumatologica Turcica 32/5 (September 2006), 429-438. https://doi.org/10.3944/aott.v32i5.2298.
JAMA Binnet M, Gurkan I. Posterior cruciate ligament injuries and arthroscopic reconstruction method. Acta Orthopaedica et Traumatologica Turcica. 2006;32:429–438.
MLA Binnet, Mehmet and Ilksen Gurkan. “Posterior Cruciate Ligament Injuries and Arthroscopic Reconstruction Method”. Acta Orthopaedica Et Traumatologica Turcica, vol. 32, no. 5, 2006, pp. 429-38, doi:10.3944/aott.v32i5.2298.
Vancouver Binnet M, Gurkan I. Posterior cruciate ligament injuries and arthroscopic reconstruction method. Acta Orthopaedica et Traumatologica Turcica. 2006;32(5):429-38.