Schweiberer L, Hertel P
Langenbecks Arch Chir. 1977 Nov;345:439-44. doi: 10.1007/BF01305516.
The cruciates and the collateral ligaments of the knee compare well with a crossed four-joint chain. In surgery of the ligamentous lesions of the knee it is essential to reinsert the ligaments exactly at their anatomic position. Studies of cadaver knees have demonstrated that the medial collateral ligament ensures medial rotational stability to a greater degree than the meniscofemoral and meniscotibial bands. In every stage of medial and anterior ligamentous lesions, external rotation in 90 degrees of flexion shows the same amount of anterior laxity of the medial tibial condyle as the test of Slocum. In contrast to Nicholas the pivot point in anteromedial complex instability is situated posterolaterally.
膝关节的交叉韧带和侧副韧带与交叉的四关节链相当。在膝关节韧带损伤的手术中,将韧带精确地重新植入其解剖位置至关重要。对尸体膝关节的研究表明,内侧副韧带比半月板股骨韧带和半月板胫骨韧带在更大程度上确保内侧旋转稳定性。在内外侧韧带损伤的各个阶段,90度屈曲时的外旋显示胫骨内侧髁的前侧松弛程度与Slocum试验相同。与尼古拉斯的观点相反,前内侧复合体不稳定的枢轴点位于后外侧。