• Home
  • NEW DAY MEDICINE
  • 8 (58) 2023
  • 4 -8 (58) 2023 — Irismetov M.E., Safarov M.M. — INJURY OF THE ANTERIOR AND POSTERIOR CRUCIATE LIGAMENTS OF THE KNEE JOINT

4 -8 (58) 2023 — Irismetov M.E., Safarov M.M. — INJURY OF THE ANTERIOR AND POSTERIOR CRUCIATE LIGAMENTS OF THE KNEE JOINT

INJURY OF THE ANTERIOR AND POSTERIOR CRUCIATE LIGAMENTS OF THE KNEE JOINT

Irismetov M.E., Republican Specialized Traumatology and Orthopedics Scientific and Practical Medical Center

Safarov M.M., Republican Specialized Traumatology and Orthopedics Scientific and Practical Medical Center

Safarov M.N., Bukhara State Medical Institute named after Abu Ali ibn Sina

Safarov N.B. Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

This article is devoted to modern approaches to the diagnosis, treatment and rehabilitation of rupture of both cruciate ligaments of the knee joint. The knee joint is one of the largest joints in the body, which takes a lot of stress every day. The incidence rate is 50% of all joint diseases. Rupture of both cruciate ligaments of the knee joint is a complex pathology that leads to sagittal instability of the knee joint. Rupture of both cruciate ligaments of the knee joint is a complex pathology that leads to sagittal instability of the knee joint. Of all orthopedic injuries, this pathology is 0.02%, 10-20% damage to the ligaments of the knee joint. Based on the stress radiography and MRI examination, the diagnosis is established. In modern medicine, for the treatment of rupture of both cruciate ligaments of the knee joint, a minimally invasive method with arthroscopic assistance is used.

Keywords: anterior cruciate ligament (ACL), posterior cruiate ligament (PCL), arthroscopy.

First page

21

Last page

28

For citation: Irismetov M.E., Safarov M.M., Safarov M.N., Safarov N.B. – INJURY OF THE ANTERIOR AND POSTERIOR CRUCIATE LIGAMENTS OF THE KNEE JOINT //New Day in Medicine 2023 8(58): 21-28 https://newdaymedicine.com/index.php/2023/08/05/l-292/

LIST OF REFERENCES:

  1. Ахтямов И.Ф., Айдаров В.И., Хасанов Э.Р. Современные методы восстановительного лечения пациентов после артроскопической реконструктивной пластики передней крестообразной связки коленного сустава: обзор литературы //Гений ортопедии. 2021;27(1):121-127. DOI 10.18019/1028-4427-2021-27-1-121-127.
  2. Брюханов А.В., Клыжин М.А Комплексное применение лучевых методов диагностики при обследовании больных с травматическими повреждениями коленных суставов // Комплексное применение лучевых методов диагностики 2008;20-24.
  3. Карусинов Павел Сергеевич Магнитно-резонансная томография при повреждениях связочных стрУКтУр Коленного сустава //Бюллетен ВСНЦ СО РАМН, 2014;3(97):30-34.
  4. Кузнецов И.А., Фомин Н.Ф., Шулепов Д.А., Салихов М.Р. Современные подходы к хирургическому лечению хронической задней нестабильности коленного сустава (обзор литературы). //Травматология и ортопедия России. 2015;(1):95-105.
  5. Abolfazl Bagherifard, MD; Mahmoud Jabalameli, MD; Salman Ghaffari, MD; Jafar Rezazadeh, MD; Majid Abedi, MD; Masoud Mirkazemi, MD; Javad Aghamohamadi, MD; Afshin Hesabi, MD; Mehdi Mohammadpour, MD Short to Mid-term Outcomes of Single-stage Reconstruction of Multiligament Knee Injury //Arch Bone Jt Surg. 2019;7(4):346-353.
  6. Abulhasan J., Grey M. (2017). Anatomy and Physiology of Knee Stability //Journal of Functional Morphology and Kinesiology, 2017;2(4):34:1-11. doi:10.3390/jfmk2040034 
  7. Aly M. Fayed, Benjamin B. Rothrauff, Darren de Sa, Freddie H. Fu,  Volker Musahl// Clinical studies of single‑stage combined ACL and PCL reconstruction variably report graft tensioning, fixation sequence, and knee flexion angle at time of fixation //Knee Surgery, Sports Traumatology, Arthroscopy 2021;29:1238–1250. // DOI 10.1007/s00167-020-06171-6
  8. Anikar Chhabra, MD, MS, Peter S. Cha, MD, Jeffrey A. Rihn, MD, Brian Cole, MD, Craig H. Bennett, MD, Robert L. Waltrip, MD, and Christopher D. Harner, MD //Surgical Management of Knee Dislocations //JBJS February 2004;86(A):262-273. //doi:10.2106/JBJS.D.02711
  9. Balint Zsidai, Alexandra Horvath, Philipp W. Winkler, Eric Narup, Janina Kaarre, Eleonor Svantesson, Volker Musahl, Eric Hamrin Senorski, Kristian Samuelsson Different injury patterns exist among patients undergoing operative  treatment of isolated PCL, combined PCL/ACL, and isolated ACL injuries: a study from the Swedish National Knee Ligament Registry //Knee Surgery, Sports Traumatology, Arthroscopy 2022;30:3451–3460 //DOI: 10.1007/s00167-022-06948-x.
  10. Brian C. Lau, M.D., Kunal Varsheya, B.S., Nicholas Morriss, B.A.,John Wickman, M.D., M.B.A., Donald Kirkendall, Ph.D., and Geoffrey Abrams, M.D. Single-Stage Surgical Treatment of Multi-ligament Knee Injuries Results in Lower Cost and Fewer Complications and Unplanned Reoperations Compared With Staged Treatment //Arthrosc Sports Med Rehabil. 2022 Oct; 4(5): e1659–e1666. DOI: 10.1016/j.asmr.2022.06.012
  11. Evan W. James BS, Brady T. Williams BS, Robert F. LaPrade MD, PhD Stress Radiography for the Diagnosis of Knee Ligament Injuries: A Systematic Review //Clin Orthop Relat Res. 2014 Sep; 472(9):2644–2657 //doi: 10.1007/s11999-014-3470-8
  12. Fanelli G.C., Giannotti B.F., Edson C.J. Arthroscopically assisted combined anterior and posterior cruciate ligament reconstruction. //The Journal of Arthroscopic and Related Surgery, 1996;12(1):5-14. //doi:10.1016/s0749-8063(96)90213-3 
  13. Карпов С.В. К методике лавсан пластики связок коленного сустава //Казанский медицинский журнал 1984;65(6):459-460 // https://doi.org/10.17816/kazmj89558.
  14. Gregory C, Fanelli, MD Treatment of combined anterior cruciate ligament-posterior cruciate ligament-lateral side injuries of the knee. //Clinics in sports medicine July 2000; 19(3).
  15. Gregory C. Fanelli, M.D., Daniel R. Orcutt, M.D., M.S., and Craig J. Edson, M.S., P.T. The Multiple-Ligament Injured Knee: Evaluation, Treatment, and Results  // The Journal of Arthroscopic and Related Surgery, 2005;21(4):(April):471-486. // DOI: 10.1016/j.arthro.2005.01.001
  16. Gregory C. Fanelli, MD Craig J. Edson, Surgical Treatment of Combined PCL–ACLMedial and Lateral Side Injuries (Global Laxity): Surgical Technique and 2- to 18-Year Results // The Journal of Knee Surgery 2012;25(4)307–316. // DOI :10.1055/s-0032-1326997
  17. Gregory C. Fanelli The Multiple Ligament Injured Knee //Third Edition 2019;1:613 //DOI: 10.1007/978-3-030-05396-3.
  18. Iftach Hetsroni M.D., Gideon Mann M.D., Gabriel Marino M.D., and Nissim Ohana M.D All-Autograft Multiligament Knee Reconstruction of the Posterior Cruciate Ligament, Anterior Cruciate Ligament, and Posterolateral Corner (KD-IIIL) // Arthroscopy Techniques, 2021;10(6 June):1559-1572. https://doi.org/10.1016/j.eats.2021.02.027.
  19. Jacob A. Braaten B.A., Foley J. Schreier, B.S., Ariel N. Rodriguez, M.S., Jill Monson, PT, and Robert F. LaPrade, M.D, PhD Modern Treatment Principles for Multiligament Knee Injuries // The archives of bone and joint surgery 2022; 10(11):937-950.
  20. John J. Klimkiewicz MD., Russell S. Petrie MD, Christopher D. Harner MD Surgical treatment of combined injury to anterior cruciate ligament, posterior cruciate ligament, and medial structures // Clinics in Sports Medicine 2000;19(3)July:479-492.

file

download