Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use...

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Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung, Suk-Kee Tae, Ho-Joong Jung, and Kee-Hyun Lee J Bone Joint Surg Am Volume 86(9):1878-1883 September 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use...

Page 1: Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified

Tibial Inlay Method

by Young-Bok Jung, Suk-Kee Tae, Ho-Joong Jung, and Kee-Hyun Lee

J Bone Joint Surg AmVolume 86(9):1878-1883

September 1, 2004

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

Schematic diagrams of the modified tibial inlay technique.

Young-Bok Jung et al. J Bone Joint Surg Am 2004;86:1878-1883

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

The operating table is tilted 30° so that the knee to be operated on is lower than the contralateral knee for the posterior approach.

Young-Bok Jung et al. J Bone Joint Surg Am 2004;86:1878-1883

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

The medial border of the medial head of the gastrocnemius muscle is identified, and the interval between it and the semimembranosus tendon is dissected to expose the posterior joint capsule.

Young-Bok Jung et al. J Bone Joint Surg Am 2004;86:1878-1883

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

The bone block of the posterior cruciate ligament graft is fixed with a screw and washer with the knee in 70° of flexion.

Young-Bok Jung et al. J Bone Joint Surg Am 2004;86:1878-1883

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Replacement of the Torn Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

A long leg splint is used for two to three weeks postoperatively to hold the knee in extension.

Young-Bok Jung et al. J Bone Joint Surg Am 2004;86:1878-1883

©2004 by The Journal of Bone and Joint Surgery, Inc.