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A Â «Â new" knee ligament?

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Focus - A recent article anatomy highlighted the presence of a ligament in the knee.
A study published in the Journal of Anatomy by two orthopedic surgeons Surgery and Traumatology University Hospitals of Leuven ( Belgium ), provides the first accurate anatomical description of a "fibrous web pearly resistant" which was described in an article published in 1879.
In fact, there is a set of fibers that are called "Kaplan fiber" or "ilio tibial tract" in English. These are fibers on the outer anterior portion of the knee involved in the control of internal rotation. These fibers may be damaged when subjected to excessive twisting of the knee. In fact, these fibers can washed away a bone fragment to their tibial insertion. This fracture is called "Segond fracture". It was described in 1879 by a French surgeon of the same name. If the fracture is visible is that the twist was such that the anterior cruciate ligament has been ruptured.
The rebuilding of these broken fibers is also known for decades therapeutic strategy. The techniques that use fascia lata aim an extra rotary joint control: Mac Intosh, Lemaire, lateral tenodesis ... etc ..
This recent development said that the intra-articular reconstruction of the anterior cruciate ligament ruptures can replace the anterior cruciate ligament. During knee sprain, other structures are affected.
The treatment of knee instability may therefore need to add an external plasty anterior to the intra-articular plasty.

 

Doctor Yoann BOHU, Doctor Nicolas LEFEVRE, Doctor Serge HERMAN. - 3 janvier 2015.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.

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