Preliminary report of intra- and extra-articular reconstruction of posterior cruciate ligament utilizing Aesculap's instruments.

概要

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Posterior cruciate ligament injury has been increased mainly due to traffic accidents. There are many problems concerning the treatment. Someone supports an operative treatment and someone does conservative.Though we have adopted Kennedy's or Insall's methods, stability and range of motion have riot been sufficient. We think that extra-articular reconstruction will be also necessary, because many cases of PCL injury are associated with postero-lateral rotatory instability. So we have been taking the modified Lipscomb's method for extra-aricular reconstruction.The instruments of Aesculap are useful for accurate and safe drilling and putting a guide wire quickly through the bone tunnel.The Leeds-Keio augmeritative mesh was used as a material. As for the isometric points, we adopt the theory described by Sidles. Postoperatively, the Don-Joy 4 points brace was applied after four weeks' cast fixation.
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