Rekonstruktion des medialen Kollateralbandkomplexes

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• 作者：Prof. Dr. med. Wolf Petersen ; Andrea Achtnich
• 关键词：SchlüsselwörterValgusstress ; Instabilität ; Sehnentransplantat ; Hinteres Schrägband ; Mediales Kollateralband
• 刊名：Arthroskopie
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：30
• 期：1
• 页码：38-43
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Orthopedics; Surgical Orthopedics; Traumatic Surgery;
• 出版者：Springer Medizin
• ISSN：1434-3924
• 卷排序：30

文摘

The principle of posteromedial reconstruction is replacement of the insufficient structures, the posterior oblique ligament (POL) and the superficial medial collateral ligament (sMCL), with a tendon graft. As the flexor tendons of the superficial pes anserinus (insertion tendon of the semitendinosus and gracilis muscles) serve as active medial stabilizers, it appears to be reasonable to harvest them from the contralateral side or from a body donor (allograft). Bone tunnels are drilled at the tibial insertions of the sMCL and the POL. The loop of the graft is pulled into the tunnel at the medial epicondyle, the femoral insertion of the medial collateral complex. The graft is fixed in the bone tunnel with resorbable interference screws or/and by extracortical fixation using a flip toggle or tying a knot over the bone bridge.