title: [Fresh and older elongation of the anterior cruciate ligament. Experiences in diagnosis and therapy].
abstract: The elongation of the anterior cruciate ligament leads to a ligamentary insufficiency which is followed by an instability of the knee joint. After acute trauma isolated second degree sprains may be treated conservatively, while old elongations, with a secondary laceration of the anterior-medial ligamentary structures, have to be treated operatively. We use the transpositions of the anterior cruciate ligament also in combination with the semitendinous tendon. Since 1980 at our department 36 old elongations of the anterior cruciate ligament were treated by operative reefing of the ligamentary structures. The best results as documented in a clinical and CT-Scan follow-up, were recorded when using a distalisation of the insertion of the anterior cruciate ligament together with a semitendinous transplant.
authors.forename: O
authors.initials: O
authors.lastname: Paar
authors.forename: M
authors.initials: M
authors.lastname: Reiser
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000601:surgery*; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery; D013536:Suture Techniques; D013709:Tendon Transfer; D000070600:Tibial Meniscus Injuries; D014057:Tomography, X-Ray Computed
vernacular_title: Problematik der frischen und veralteten Elongation des vorderen Kreuzbandes. Erfahrungen zur Diagnose und Therapie.