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  • Title: Combined injury of the medial and lateral meniscus and the anterior cruciate ligament.
    Author: Bosch U.
    Journal: Oper Orthop Traumatol; 2006 Dec; 18(5-6):485-9. PubMed ID: 17171333.
    Abstract:
    THE PROBLEM: Combined injury of the medial and lateral meniscus and the anterior cruciate ligament. THE SOLUTION: One-stage arthroscopic treatment of all injuries. Repair of the bucket-handle tears with sutures and arrow-shaped implants. SURGICAL TECHNIQUE: Arthroscopy of the knee joint, repositioning of the buckethandle tears of the medial and lateral menisci. Evaluation of the stability of the menisci without sutures, insertion of horizontal and vertical sutures through the menisci in inside-out technique, refixation of the posterior horns with arrow-shaped meniscus implants. Reconstruction of the anterior cruciate ligament with a patellar tendon transplant. Knotting of the suture loops through the menisci directly onto the capsule. RESULT: Stable knee joint capable of load bearing and without signs of irritation after 12 weeks with a range of motion of 0/0/130 degrees. Slight muscle deficit in the right thigh.
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