Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics12010.21823/2311-2905-2015-0-1-95-105ReviewsОбзорыReviewsThe modern approaches to the treatment of chronic posterior instability of the knee (review)Современные подходы к хирургическому лечению хронической задней нестабильности коленного сустава (обзор литературы)KuznetsovI. A.КузнецовИ. А.
Russian Federation
FominN. F.ФоминН. Ф.
Russian Federation
ShulepovD. A.ШулеповД. А.
Russian Federation
shulepov@front.ruSalikhovM. R.СалиховМ. Р.
Russian Federation
virus-007-85@mail.ruVreden Russian Research Institute of Traumatology and OrthopedicsФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава РоссииMechnikov Northwestern State Medical UniversityГБОУ ВПО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России1204201521195105120920162015https://journal.rniito.org/jour/article/view/120

The history of surgical treatment of the posterior cruciate ligament injuries spanned more than 100 years. The first publications describing knee surgical stabilization have appeared in the early 20th century Until the early 1980’s there were several original methods of surgical treatment of posterior cruciate ligament injury including a dynamic stabilization with plasty by local tissues. Since the 1980’s with the development of arthroscopy the approach to surgical treatment of knee ligament injuries has changed. The authors discussed both advantages and disadvantages of different techniques of arthroscopic posterior cruciate ligament plasty. This review presents different views on arthroscopic repair of posterior cruciate ligament at present time.

История хирургического лечения повреждений задней крестообразной связки охватывает период более 100 лет. Первые публикации с описанием методик хирургической стабилизации коленного сустава появились начале XX в. До начала 1980-х гг. было предложено несколько оригинальных методик оперативного лечения этой группы пациентов, предполагающих динамическую стабилизацию с использованием пластики местными тканями. С развитием артроскопической техники в 1980-х гг. изменился и подход к оперативному лечению повреждений связок коленного сустава. За последние 30 лет накоплен большой опыт применения различных методик артроскопической пластики задней крестообразной связки, которые имеют как несомненные достоинства, так и различные недостатки. В обзорной статье представлены различные взгляды на основные проблемы артроскопического восстановления задней крестообразной связки коленного сустава на современном этапе развития хирургии.

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