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Principles of posterior knee joint instability treatment (literature review)

Maksim Golovakha, Inna Didenko, Sergiy Krasnoperov, Rostyslav Titarchuk, Кarl Benedetto, Weniamin Orljanski


Damage of posterior crucial ligament postern-lateral stabiliz­ing structures is a significant injury to the knee. Incomplete diagnosis of lesions in the acute period of trauma and subse­quent inadequate treatment leads to functional instability and rapid progression of degenerative processes.

Objective: based on the analysis of scientific literature to identify further direc­tion for improving surgical techniques and improving outcomes of patients with posterior instability of the knee joint.

Meth­ods: keyword search on problems of diagnosis, classification and selection method for treating posterior knee instability in the english-speaking academic libraries, databases Pubmed, Medline, Cochrane library and the Russian media over the past 15 years.

Results: mechanisms of posterior crucial ligament inju­ry are very diverse. Damage can be isolated or combined, have a chronic course. In recent years, increased interest in the re­construction of all the internal structures of the knee. Reports of the functional results of posterior crucial ligament surgi­cal treatment is less than anterior crucial ligament. The sig­nificance of the problem is associated with low frequency and less surgical treatment of posterior crucial ligament injuries, as well as the heterogeneity of acute, chronic and combined it with the potential damage involving posterolateral joint. Damage of posterior crucial ligament often remains unrecognized and therefore untreated. The authors analyzed the methods used to­day to treat patients with posterior instability of the knee joint, whereby defined prospects for improving surgical techniques and improving outcomes.


knee; posterior crucial ligament; posterior instability; surgical treatment


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