Orthopädie im GesundheitsZentrum Kelkheim
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Knee Arthroscopy

Cruciate Ligament Injuries

intaktes vorderes Kreuzband

Illustration 1 • Intact anterior cruciate ligament

gerissenes vorderes Kreuzband

Illustration 2 • Torn anterior cruciate ligament

Bohren der Knochenkanäle

Bohren der Knochenkanäle

Illustration 3 • Drilling of bone channels

Vorbereiten der zu transplantierenden Sehne

Illustration 4 • Preparing of tendon to be transplanted

Einbringen des Sehnen-Transplantates in das Gelenk

Illustration 5 • Insertion of tendon graft into joint

Verankerung des Transplantates im Ober- und Unterschenkel mit sich selbst auflösendem Stift und Schraube

Illustration 6 • Anchoring graft in femor and shank with resorbable pin and screw 

transplantierte Sehne

Illustration 7 • Transplanted tendon

Traumatic rupture of the anterior cruciate ligament leads to instability in the knee joint. If this instability cannot be remedied through muscle building training, the anterior cruciate ligament needs to be replaced.

This is done arthroscopically with autologous tendon tissue. The transplanted tendons are attached to the femur and shank with absorbable material. First, a small incision yields an autologous tendon (patella tendon or semi-tendinosus and gracilis tendon). Then, the required bone channels are drilled into femur and shank with an aiming device. After inserting the tendon into the joint, it is anchored above and below.