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By Michel Bonnin, Ned Annunziato Amendola, Johan Bellemans, Steven J. MacDonald, Jacques Menetrey
Pushed via the development of biology, expertise and biomechanics, knee surgical procedure has dramatically advanced within the final a long time. This booklet is a "state of the artwork" touching on all points of knee surgical procedure from ligament reconstruction to overall Knee Arthroplasty. a global panel of popular authors have labored in this didactic totally illustrated booklet. it is going to support younger surgeons to appreciate uncomplicated sciences and glossy sugical ideas. The skilled general practitioner will locate support to accommodate tough instances and clarifications in fresh technologic advances comparable to cartilage surgical procedure, navigation and mini invasive surgery.
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Example text
The Th PM fibers attach centrally at the posterior surface of the tibia below the AL fibers. 5 cm postero-lateral-distally close to the attachment area of the popliteus muscle. Some anatomical studies revealed posterior oblique fibers fi of the PCL that might be confused with the posterior MFL of Wrisberg (27). Th These fibers are situated posteriorly on the PCL moving from the medial femoral condyle to the lateral facet of the tibia, where they insert to the bone below the posterior horn of the lateral meniscus.
The load-elongation curve changes to a non-linear relationship after the yield load is reached. This is due to increasing structural, non-reversible damage of ligament fibers until complete failure takes place at maximal sustained loads. 17 18 The Traumatic Knee function to avoid excessive loading of the ligaments during repetitive or continuous exercises. Kinematics Th fibers of the ACL undergo non-isometric length The changes during the arc of knee motion, providing varying degrees of restraint to anterior tibial translation, which is the primary function of the ACL.
Even though the centers of the two fiber bundles lay anteroposterior, the individual attachment areas of the AM and PL bundles were mediolaterally parallel to each other and showed a large variation (Fig. 3) compared to the very consistent femoral footprint of the ACL. PCL The PCL is longer and stronger than the ACL (23). PCL footprints on the femur and the tibia are three times larger than its mid-substance cross-sectional area (24). The femoral insertion site of the PCL is located at the medial femoral condyle and extends to the medial side of the femoral intercondylar notch.