PMID: 7371318Mar 1, 1980Paper

Combined instabilities of the knee

Clinical Orthopaedics and Related Research
R L Larson

Abstract

A knee with a combination of instabilities in very difficult to restore to a completely stable condition. The ligamentous structure of the knee is a functional unit. Laxity in any of the planes of the knee motion can produce increased stretching and stress to the structures, which help to provide stability in the other planes. Since it is almost impossible to restore the knee to the pre-injury state, residual laxity in different planes of motion is going to produce increasing stress to the other components, which may have been restored to a greater degree of stability. This emphasizes the importance of a good muscular rehabilitation program and a dynamic component to knee reconstructive procedures to protect against this eventuality. Passive laxity, if present, should not be taken as a sign of failure of the procedure. Often the patient's assessment of his functional capabilities have improved after the reconstructive procedures.

Citations

Dec 2, 2004·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·S L Y WooS S Chan Saw
Jul 18, 2002·Radiologic Clinics of North America·Christine B ChungDonald Resnick
Feb 13, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ari Pressman, Donald H Johnson
May 1, 1984·The American Journal of Sports Medicine·J L Ellera Gomes, L R Marczyk
May 1, 1990·The American Journal of Sports Medicine·J P FulkersonN Parthasarathy
Sep 1, 1991·The American Journal of Sports Medicine·J G HoweM Jarvinen

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