METHOD OF PLASTIC SURGERY ON ANTERIOR CRUCIATE LIGAMENT OF KNEE JOINT IN ADULTS

摘要

FIELD: medicine.;SUBSTANCE: invention concerns medicine, particularly traumatology. Two through canals of the equal diameters are formed in a femoral epiphysis under the control of an arthroscope. An internal hole of the first canal is found at a place of the anatomical attachment of an anterior cruciate ligament. An internal hole of the second canal is formed 1-1.5 cm higher from the internal hole of the first canal in relation to the long femoral axis with the long axes of the first and second canal of the femoral epiphysis form an angle of 30-40°, and a diameter of the through canal formed in the femoral epiphysis is equal to a total diameter of the canals in the femoral epiphysis. Then, the transplant is placed through the formed canals by bringing it through the canal in the femoral epiphysis into a knee joint cavity, and through one of the canals in the femoral epiphysis to be brought out outside. The transplant is brought back into the joint through the free canal into the femoral epiphysis and brought out through the canal in the tibial epiphysis. The transplant ends are fixed by introducing an interference screw into the canal in the tibial epiphysis from the side of its outer hole.;EFFECT: method enables more reliable fixation of the transplant thereby providing the recovery of the anatomic-physiological characteristics of the unaffected anterior cruciate ligament of the knee joint herewith using the only one fixator.;2 cl, 3 dwg, 1 ex