Posts Tagged ‘multi ligament knee surgery’
Primary repair of multiligament knee injury with InternalBrace ligament augmentation
Abstract: Multiligament injury of the knee usually occurs as a result of high-energy trauma causing tibiofemoral dislocation. These are rare but potentially limb-threatening injuries, frequently involving nerve or arterial damage and often leading to severe complex instability. Management generally favours surgical reconstruction of the affected ligaments, with controversy regarding optimal treatment. We present a severe…
Read MoreGood news as we launch into 2022
A very Happy New Year to everyone. We are starting the new year with good news as more clinical InternalBrace research papers are published. Both of these relate to the knee. The first looks in detail at the outcome of a severe multi-ligament knee injury. Taking this extreme case the paper debates that InternalBrace surgery…
Read MorePosteromedial Ligament Repair of the Knee With Suture Tape Augmentation: A Biomechanical Study
Abstract: Background: In cases of acute combined posteromedial and anterior cruciate ligament (ACL) injuries, primary repair of the superficial medial collateral ligament (sMCL) and posterior oblique ligament (POL) with suture tape augmentation may be a reasonable alternative to standard tendon reconstruction techniques. Purpose/hypothesis: The purpose was to examine the rotational and valgus laxity with ACL…
Read MoreSuture Augmentation: An Alternative to Reconstruction for Incomplete Posterior Cruciate Ligament Injuries in the Multiple Ligament-Injured Knee (2018)
Abstract; Treatment of posterior cruciate ligament injuries remains controversial, particularly in the case of partial or incomplete tears in the context of a multiple ligament-injured knee. Suture augmentation, or internal bracing, has been shown in other ligament and tendon repairs or reconstructions to provide stable biomechanics and facilitate early return to activity. In the knee,…
Read MorePosterior Cruciate Ligament Repair With Suture Tape Augmentation (2018)
Abstract: The posterior cruciate ligament (PCL) acts as the primary restraint to posterior tibial translation of the knee. Injuries to the PCL are rare in isolation and more often are associated with multiligament injuries to the knee. Several PCL reconstruction and PCL repair techniques have been described in the literature, but no single technique has…
Read MoreMultiligament Repair With Suture Augmentation in a Knee Dislocation With Medial-Sided Injury (2018)
Abstract: Knee dislocations often result in a severe multiligament injured knee (MLIK) with complex instability. Multiligament reconstruction can successfully restore knee stability and is commonly recommended, although surgical morbidity is induced by graft harvesting and tunnel drilling, and convergence of multiple tunnels can complicate the surgery. Therefore, as an alternative, primary repair of knee ligaments…
Read MoreLigament bracing–augmented primary suture repair in multiligamentous knee injuries (2014)
Abstract: Objective: Reconstruction of knee stability by primary ligament sutures and additional augmentation after knee dislocation. Indications: Acute knee dislocation Schenck type III and IV. Operative treatment should be performed within 7 days after injury. Contraindications: Chronic instability after knee dislocation, refixable bony avulsions, critical soft tissue, infection, lack of compliance. Surgical technique: Supine position…
Read MoreRepair and Augmentation with Internal Brace in the Multiligament Injured Knee
Abstract: The internal brace is a ligament repair bridging concept using braided ultra-high-molecular-weight polyethylene suture tape and knotless bone anchors to reinforce ligament strength to allow early mobilization during early-phase healing. This concept can be used in the management of anterior cruciate ligament, posterior cruciate ligament, anterolateral ligament, medial collateral ligament, posteromedial corner, and posterolateral…
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