Operation sequence of ligament repair and reconstruction | |
---|---|
1. Arthroscopic exploration and treatment of meniscus and articular cartilage injury. | |
2. Establishing tibial tunnel of posterior cruciate ligament. | |
3. Establishing femoral tunnel of posterior cruciate ligament. | |
4. Establishing Femoral tunnel of anterior cruciate ligament. | |
5. Establishing Tibial tunnel of anterior cruciate ligament. | |
6. Tighten the posterior cruciate ligament graft at full extension and fix it at 90 degrees flexion. | |
7. Tightened and fix anterior cruciate ligament graft at full extension. | |
8. Repair and enhance the deep and shallow medial collateral ligament in 30 degrees flexion with mild external rotation. Then tighten and fix the medial collateral ligament. | |
9. Tighten and fix posterior oblique ligament and posterior medial joint capsule near complete extension | |
10. Repair, enhancement or reconstruction of PLC in 30 degrees of knee flexion, with valgus and mild internal rotation. | |
a. Order of ligament tightening and fixation: PCL—ACL—PLC—PMC b. Fracture reduction and fixation is prior to ligament reconstruction and repair. |