Operativer Standard bei frischen Kreuzbandverletzungen

Abstract

The cruciate ligaments are the main stabilizers of the knee. Their loss causes instability and malfunction of the knee joint, leading to severe meniscus tears and cartilage lesions in many cases. The development of arthroscopic surgery in the 1970s and the fast pace of advances in instrument technology have combined to make ACL reconstruction a standard procedure. Treatment of a tear of the ACL must be preceded by both clinical examination and diagnostic imaging; the standards in terms of timing, implants, transplant placement and fixation are highlighted. A new method for the treatment of acute ACL tears, the healing response technique, is introduced following its first use in 120 patients; the results achieved have been monitored by arthroscopy in 110 of the patients and are also presented. Rupture of the PCL is an even greater challenge to the knee surgeon. The different opinions on its management are discussed. � Springer Medizin Verlag 2006