PCL POSTEROMEDIAL AUGMENTATION AND ANTEROLATERAL RETENSION BAND скачать в хорошем качестве

PCL POSTEROMEDIAL AUGMENTATION AND ANTEROLATERAL RETENSION BAND

THIS IS A YOUNG MALE PATIENT THAT HAD A KNEE TRAUMA 6 MONTHS BEFORE. HIS MAIN COMPLAINT WAS INSTABILITY AND ANTERIOR KNEE PAIN. CLINIC EXAM SHOWS A POSTERIOR DRAWER TEST GRADE II WITH END POINT, POSTERIOR SAG ++, GODFREY TEST ++, NEGATIVE LACHMAN AND DIAL TEST. MRI WAS REPORTED AS A NORMAL. BECAUSE PHYSICAL THERAPY CAN NOT RELIEVE HIS SYMPTOM, HE WAS INTERVENED. WE FOUND IN SURGERY A SHRUNKEN ACL BECAUSE HIS PCL WAS FRANKLY INSUFFICIENCY SPECIALLY ITS PM BUNDLE. WE DID A PM AUGMENTATION USING HAMSTRINGS TENDONS AND WE ADD AN ANTEROLATERAL BUNDLE TENSIONING USING KNOTLESS AND ULTRA STRENGTH SUTURE