Arthroscopic findings of the posterior cruciate ligament.

概要

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Three hundred knees were examined under arthroscopy over a thirty-month period. Since thirty knees with a tear of the posterior cruciate ligament were encountered, twenty-six of these knees were examined arthroscopically. Since initially an anterolatral approach was employed using a O-degree telescope in nine knees, the entire length of the posterior cruciate ligament was not visible except for the knee with the attenuated anterior cruciate ligament. However, the use of an anteromedial or central approach using a 30-degree telescope made the diagnosis of tears of the posterior cruciate ligament easier even for the old cases. In those cases, a hook must be used to judge the tension of the ligament and to decide the exact portion of the ruptured fibers. Using this method, fifteen of the seventeen knees were diagnosed correctly.
西日本整形・災害外科学会の論文