Skip to main content

Table 2 The Order of Ligaments Reconstruction

From: Results of multiple ligament reconstruction after knee dislocation——A prospective study with 95 patients and minimum 2-year follow up

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.