Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова (Mar 2018)

TECHNOLOGY OF ANATOMICAL RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT OF THE KNEE JOINT: OPPORTUNITIES AND BENEFITS

  • V. V. Zayats

DOI
https://doi.org/10.24884/1607-4181-2018-25-1-28-34
Journal volume & issue
Vol. 25, no. 1
pp. 28 – 34

Abstract

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The objective is to study the technologies of AM portal ACL-R and antegrade outside-in ACL-R, to give a description and scientifically grounded recommendations for their clinical application. Material and method. 114 operations were analyzed. AM portаl ACL-R was performed in 39 cases (34.2 %) (1a subgroup) and antegrade outside-in ACL-R was performed in 37 cases (32.5 %) (1b subgroup).Transtibial ACL-R was performed in 38 cases (33.3 %) (group 2). Results. In the 1 group, stability and knee function was higher, the vertical graft position, its postoperative destruction or dilatation of the bone channels was less often observed (p<0.01). Nevertheless, the intraoperative time in the 2nd group was less (p<0.05). Conclusions. The anatomical ACL-Rs make possible to obtain greater reliability in achieving excellent and good results in comparison with the transtibial technique.

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