Reconstruction of the medial ligament complex of the knee for chronic anteromedial instability using a modification of the Nicolas procedure

Reconstruction of the medial ligament of the knee for chronic anteromedial instability possesses a major problem. Lots of methods and varieties of techniques were described. Hey Grove in 1917 described an operation for reconstruction of the Anterior Cruciate Ligament using the ilio-tibial band. In 1920, he expanded the technique to include reconstruction of the tibial collateral ligament. Slocum and Larson in 1968 described transfer of the pes ansencrius tendons. Opinions varied whether to attack the femoral attachment of the ligament [Augustine 1956 and Nicolas 1974] or the tibial attachment of the ligament [Mauck 1936 and O'Donoghue 1973]. However, no technique proved to be satisfactory. None was able to restore a ligament with proper isometric attachment which, in our opinion is the major cause of failure. In this paper we are presenting our experience with a rather new technique which is based on the principles used by Nicholas in 1973

Reconstruction of posterior cruciate ligament using a free patellar tendon graft through an anterior approach

Fourteen cases were the subject of PCL reconstruction using a rather new technique. Half patellar tendon free graft employing the anterior approach was used. Seven cases were rated as excellent, four as good and three as poor. The proposed technique and postoperative management are strongly recommended by the author in cases of disabled posterior cruciate deficient knees

Result of surgical repair of acute medial ligament complex of the knee

Fourty two cases were the subject of repair for acute medial ligament injuries. Twenty five cases [59.5%] were rated as excellent, thirteen [30.9%] as good and four [9.5%] as poor. Repair or reconstruction of a concomitant cruciate injury should be attempted to at the same time: a peripherally detached meniscus should be sutured and preserved

treatment of unstable Colle's fractures using the external fixator

Fifty cases of unstable Colle's fracture were treated using small Hoffman external fixator using the principle of ligamento taxis across the wrist-joint. They were followed for a minimal period of one year. The final end results were; 32 cases as excellent [64%], 15 good [30%], 2 fair [4%] and 1 poor [2%]. This technique is strongly recommended by the authors in cases of unstable Colle's fracture