Bogdan S. Diagnosis and treatment of relapse anteromedial instability of the knee

The work is devoted to solving the urgent problem of Orthopedics and Traumatology - improve the diagnostic and treatment of relapse anteromedial instability of the knee through the development of a differential treatment strategy and the development of new methods of surgical treatment. The study is based on analysis of the diagnosis and treatment of 110 patients with relapsed anteromedial instability of the knee . The reasons for the recurrence anteromedial instability of the knee. It is revealed that the main cause of relapse is anteromedial instability of the knee technical errors (72.73%). Proved the importance of a comprehensive examination of the patient and the impact of the results to the tactics of treatment. The use of preoperative electromyographic gives us the opportunity to decide on the tactics of the rehabilitation treatment. The paper proposed a new way of plastics medial collateral ligament, which is an important stabilizer of the passive knee joint, proved the importance of active stabilizers of the knee and, in particular, the medial portion of the thigh muscles chetyrohglavoy, offered preoperative rehabilitation, which improves the results of treatment are described in detail the possible options for the development of operational intervention, depending on the initial conditions in a pilot study revealed a zone of possible bias ACL graft fixation during revision surgery. Evaluation of treatment was carried out on a scale IKDS and Tegner. The use of a detailed survey of patients, preoperative planning and rehabilitation of improved treatment outcomes. The number of unsatisfactory results after revision ACL plasty was 6.5%, which can compare with the poor performance of primary plastics PCC. Get the best outcomes in patients of the main group (made of plastic revision ACL) in relation to the patients of the control group (Revision plastic ACL did not do)