ABSTRACT
Revisamos 7 casos de rotura meniscal asociada a inestabilidad crónica anterior de rodilla por rotura del ligamento cruzado anterior con cuatro años después de la cirugía. Todos los casos fueron tratados, durante el mismo procedimiento quirúrgico, procediendo en primer lugar a efectuar la reparación meniscal y seguidamente a la ligamentoplastia mediante autoinjerto antólogo HTH. Debido a los buenos resultados obtenidos, consideramos que la sutura meniscal, siempre que ésta sea posible, debería ser un gesto quirúrgico añadido, en el transcurso de la cirugía de reconstrucción del ligamento cruzado anterior
We review 7 cases of meniscal ruptured associated with chronic anterior instability of the knee due to rupture of the ACL with two years evolution after surgery. In all the cases, and by means of arthroscopic techniques, we have proceeded to carry out, at the same time, the repair both of the damaged meniscus with meniscal suture and the reconstruction of the ACL by means of autologous ligamentoplasty with Bone-Tendon-bone. Due to the good results obtained, we consider that meniscal suture, whenever possible, should be an added surgical gesture, in the reconstruction surgery process of anterior cruciate ligament
Subject(s)
Male , Adult , Humans , Suture Techniques , Arthroscopy/methods , Anterior Cruciate Ligament/surgery , Surgical Procedures, Operative/methods , Suture Techniques/classification , Suture Techniques/trends , Anterior Cruciate Ligament , Menisci, Tibial/injuries , Menisci, Tibial/surgeryABSTRACT
We present a clinical case of anterior instability of the knee due to chronic rupture of the ACL; where there was also proximal deformity of the tibia, secondary to consolidation in flexion of the proximal fragment in a bifocal fracture of the tibia, treated by non-reamed intramedullary nailing, which consolidated in flexion of the proximal fractured segment, causing a marked increase in the angle of the tibial slope. The patient refers an articular instability, which prevented her from walking correctly and causing her frequent falls. We repaired under same chirurgical act, all the problems of the patient, her vicious consolidation and her articular instability. The result is perfect.
Subject(s)
Anterior Cruciate Ligament/surgery , Fracture Fixation, Intramedullary/adverse effects , Joint Instability/etiology , Joint Instability/surgery , Tibial Fractures/surgery , Adult , Bone Nails , Female , Fractures, Malunited/complications , Fractures, Malunited/pathology , Fractures, Malunited/surgery , Humans , Movement , Orthopedic Procedures , Radiography , Range of Motion, Articular , Tibial Fractures/complications , Tibial Fractures/diagnostic imaging , Tibial Fractures/pathology , Treatment OutcomeABSTRACT
The use of autologous bone-tendon-bone grafts for reconstructive surgery of the anterior cruciate tendon is a widely diffused technique. Fracture of the donor patella constitutes an uncommon complication. It is the purpose of this study to present the clinical case of a patient submitted to reconstructive surgery of the anterior cruciate ligament where the existence of asymptomatic nonunion of the patella was by chance observed.
