Karpf P M
Fortschr Med. 1978 Jan 26;96(4):167-76.
The problems in reconstructive surgery of old ligamentous injuries arise with the claim for restoration of normal function and anatomy. Based on new findings they are achieved by passive stabilization of the injured ligamentous structures as well as by their active reinforcement by the hamstring muscles. Surgical procedures may be traced back to a sort of integrated system; according to our own experiences these can be performed in any combination when reconstructing rotatory instabilities. Procedures eliminating one plain instability should only be applied with special indication.
陈旧性韧带损伤重建手术中的问题源于恢复正常功能和解剖结构的需求。基于新的研究结果，可通过对损伤的韧带结构进行被动稳定以及通过腘绳肌对其进行主动加强来实现。手术操作可追溯到一种综合系统；根据我们自己的经验，在重建旋转不稳定时，这些操作可以任意组合进行。仅在特殊指征下才应采用消除单一平面不稳定的手术方法。
