Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal Approach
Posterior cruciate ligament (PCL) ruptures account for nearly 20% of all ligamentous knee injuries. These may be either isolated or in the setting of a more complex knee trauma. Isolated tears with moderate posterior laxity (grades I or II) are commonly treated conservatively; nevertheless, symptoma...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-08-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717300701 |
| _version_ | 1819063457644806144 |
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| author | Paul Brossard, M.D. Achilleas Boutsiadis, M.D., Ph.D. Jean-Claude Panisset, M.D. Frédéric Mauris, M.D. Johannes Barth, M.D. |
| author_facet | Paul Brossard, M.D. Achilleas Boutsiadis, M.D., Ph.D. Jean-Claude Panisset, M.D. Frédéric Mauris, M.D. Johannes Barth, M.D. |
| author_sort | Paul Brossard, M.D. |
| collection | DOAJ |
| description | Posterior cruciate ligament (PCL) ruptures account for nearly 20% of all ligamentous knee injuries. These may be either isolated or in the setting of a more complex knee trauma. Isolated tears with moderate posterior laxity (grades I or II) are commonly treated conservatively; nevertheless, symptomatic grade III injuries frequently require surgical intervention. PCL reconstruction remains a challenging surgery for multiple reasons like the neurovascular structures' proximity, the difficult passage of the graft with the “killer turn” angle, or the risk of poor graft fixation. We describe an all-inside operative technique using hamstrings tendon autografts with tibial and femoral adjustable buttons cortical fixation and the visualization of the posterior transseptal portal. |
| first_indexed | 2024-12-21T15:14:59Z |
| format | Article |
| id | doaj.art-f7e54ac798d9494c8e6ccabb6f4b6365 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-21T15:14:59Z |
| publishDate | 2017-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-f7e54ac798d9494c8e6ccabb6f4b63652022-12-21T18:59:11ZengElsevierArthroscopy Techniques2212-62872017-08-0164e979e985Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal ApproachPaul Brossard, M.D.0Achilleas Boutsiadis, M.D., Ph.D.1Jean-Claude Panisset, M.D.2Frédéric Mauris, M.D.3Johannes Barth, M.D.4Department of Orthopaedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, FranceDepartment of Orthopaedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, FranceDepartment of Orthopaedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, FranceDepartment of Orthopaedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, FranceAddress correspondence to Johannes Barth, M.D., Parc Sud Galaxie, 5 Rue Des Tropiques, 38130 Echirolles, Grenoble, France.; Department of Orthopaedic Surgery, Centre Osteoarticulaire des Cèdres, Grenoble, FrancePosterior cruciate ligament (PCL) ruptures account for nearly 20% of all ligamentous knee injuries. These may be either isolated or in the setting of a more complex knee trauma. Isolated tears with moderate posterior laxity (grades I or II) are commonly treated conservatively; nevertheless, symptomatic grade III injuries frequently require surgical intervention. PCL reconstruction remains a challenging surgery for multiple reasons like the neurovascular structures' proximity, the difficult passage of the graft with the “killer turn” angle, or the risk of poor graft fixation. We describe an all-inside operative technique using hamstrings tendon autografts with tibial and femoral adjustable buttons cortical fixation and the visualization of the posterior transseptal portal.http://www.sciencedirect.com/science/article/pii/S2212628717300701 |
| spellingShingle | Paul Brossard, M.D. Achilleas Boutsiadis, M.D., Ph.D. Jean-Claude Panisset, M.D. Frédéric Mauris, M.D. Johannes Barth, M.D. Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal Approach Arthroscopy Techniques |
| title | Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal Approach |
| title_full | Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal Approach |
| title_fullStr | Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal Approach |
| title_full_unstemmed | Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal Approach |
| title_short | Adjustable Button Devices for All-Arthroscopic Posterior Cruciate Ligament Reconstruction Using the Hamstrings Tendons and the “Forgotten” Transseptal Approach |
| title_sort | adjustable button devices for all arthroscopic posterior cruciate ligament reconstruction using the hamstrings tendons and the forgotten transseptal approach |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717300701 |
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