FIELD: medicine, traumatology.
SUBSTANCE: one should isolate the tendon of semitendinous and gracilis muscles to suture proximally, under arthroscopic control in the middle third of median surface of knee joint paracapsularly one should form a soft tissue canal along the needle with drill-cannulated ear to introduce the tendons there and withdraw through incision in area of adducting tubercle of femur's median condyle. The tendons should be tightened and sutured in the part being above the incision to form a horizontal canal in femur's median condyle, moreover, one should fix the sutured parts of tendons with interferent screw towards femoral condyle at bending the knee joint up to 100° and internal rotation of shin by forming anterior portion of collateral tibial ligament. Then it is important to apply proximal part of tendons into the developed soft tissue canal from the top downwards being under the tendon of tailor's muscle, fix towards median tibial condyle with interferent screw at the state of tension at unbent knee joint without shin's rotation behind anterior portion of the developed ligament. The innovation prevents the relapse of instability.
EFFECT: higher efficiency of therapy.
3 dwg, 2 ex
