Reconstruction of Chronic Ligamentous Instability of the Knee
10.4055/jkoa.1980.15.1.84
- Author:
Moon Sang CHUNG
;
Woo Ku CHUNG
;
Myung Hun KWAK
;
Doo Soon KIM
- Publication Type:Original Article
- MeSH:
Follow-Up Studies;
Humans;
Knee;
Ligaments;
Surgical Procedures, Operative;
Tendons
- From:The Journal of the Korean Orthopaedic Association
1980;15(1):84-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The methods of reconstruction for chronic Iigamentous instability of the knee have changed much since the concept of rotary instability was introduced by Slocum and Larson in 1968. The first step to successful management of these probrams is the accurate dlagnosis of the type or types of the instability that exist. Appropriate operative procedures should then be selected according to the type and degree of the instability as well as the age, general conditlon and the function demand of the patient. The stability can be restored passively by a near anatomical. repair of the injured ligaments, and can be reinforced actively by a proper muscle or tendon transplantation, such as the five-one procedure for anteromedial rotary instability. Nineteen knees of active, well motivated patients were operated on for chronic knee instabilities according to these new concepts. Although the follow-up period was relatively short, the results of the procedures was generally satisfactory.