Reflex Point Treatment according to Chapman
4 Reflex Point Treatment according to Chapman Definition The Chapman reflex points are “gangliform contractions” in the deeper layers of the fascia. They can be described as small fascial tissue…
Chronic Posteromedial Instability: Reconstruction Techniques
Fig. 6.1 (a) Medial view of the knee: attachment sites (Redrawn from Bonasia et al. [17]). (b) Medial aspect of the knee showing the MCL (left loop) and the POL…
Chronic Lateral and Posterolateral Laxity: Reconstruction Techniques
Fig. 8.1 Author’s preferred position for isolated or combined PLC/cruciate ligaments reconstruction Fig. 8.2 Hockey’s stick incision passing midway between Gerdy’s tubercle and the peroneal head (Note: this patient had…
Treatment for Acute Knee Dislocations
Anatomic classification of knee dislocation KD-I Single cruciate torn (ACL or PCL) KD-II Bicruciate tears (ACL and PCL) KD-III Bicruciate tears plus MCL or LCL/PLC KD-IV ACL, PCL, MCL,…
Chronic Anterolateral Knee Laxity: Reconstruction Techniques
Fig. 7.1 Lemaire procedure [29]. Lateral extra articular reconstruction with a strip of ITB passed through the lateral condyle and under le lateral collateral ligament Christel and Djian [7] (Fig….
Treatment for Chronic Knee Dislocation
Diagnostic arthroscopy and meniscal and cartilage treatment Medial skin incision Graft harvesting ACL tibial tunnel PCL femoral tunnel PCL tibial tunnel ACL femoral tunnel Medial reconstruction Lateral skin incision Lateral…
Combined ACL and Peripheral Instability: The Western Experience
Fig. 12.1 Incision of the fascia parallel to the orientation of the pes anserinus tendons 12.2.3 Tibial Tunnel Under arthroscopic visualization, a guide pin is inserted on the medial aspect…
HTO and Peripheral Instability
Fig. 10.1 Relationship between tibial slope and kind and site of osteotomy For these reasons, HTO may be indicated in patients who have posterolateral laxity and varus hyperextension thrust, ACL…
Combined PCL and Peripheral Instability
Fig. 13.1 Position of the patient for a PCL surgery. Left leg holder giving room to work through the posteromedial portal In these cases we use pneumatic tourniquet. If the…
Postoperative Management: Rehabilitation
Week Goals of the activity 0–6 Pain reduction, rest, icing, elevation Muscle reeducation, submaximal quadriceps/hamstring isometrics (pain-free) Electrical stimulation with the Swiss ball Taping and/or knee bracing in extension Scar…
