Разрыв ПКС и мениска, нужна ли пластика и жесткий брейс

[artsoldier]

Я сам тоже поддерживаю реконструкцию при помощи hamstring, однако в мире наверное не все так просто.

"The currently available evidence from randomized and quasi-randomized trials comparing patellar tendon (PT) and hamstring tendon (HT) reconstructions of ACL deficient knees provides an insufficient basis for drawing strong clinical recommendations with respect to the choice between these two grafts for ACL reconstruction surgery.
Evidence from a minority of trials indicated that neither graft was superior in terms of functional assessment (single leg hop test), return to activity, Tegner and Lysholm scores, subjective measures of outcome, re-rupture or International Knee Documentation Com- mittee scores at a minimum of two years follow-up.

Irrespective of how stability was measured, ACL reconstructions performed with a patellar tendon are more likely to result in a statically stable knee compared with a hamstring tendon recon- struction.Conversely, the evidence supports previous findings that patients having a PT reconstruction are more likely to experience problems in the anterior aspect of their knees, particularly problems with kneeling.
The clinical importance of the findings of loss in extension range of motion and strength after PT reconstruction and loss in flexion range of motion and knee flexion strength after HT reconstruction is uncertain."

Patellar tendon versus hamstring tendon autograft for anterior cruciate ligament rupture in adults (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.