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In N. N. Priorov Institute of Traumatology and Orthopedics, atografts with bone blocks have been extensively used over the last 10 years to reconstruct anterior cruciate ligament after sports, ballet, and circus injuries. The autografts are fixed by interference screws at the level of the articular space. Reconstruction of the anterior cruciate ligament by this technique was performed in more than 800 patients (99%) between 1998 and 2006. Positive outcome was achieved in the majority of the cases (93%). A more universal method for the fixation of autografts with bone blocks has been employed since 2005 using polylactic acid pins, the Rigidfix system, and Milago interference screws. The Rigidfix system is most suitable for revisional reconstruction and may serve as an alternative tool for the primary reconstruction of the anterior cruciate ligament.

At the department of the sport and ballet trauma new methods of arthroscopic management of posterior posttraumatic knee instability (posterior static stabilization of knee joint with using of single-banded and double-banded transplants) in dependence on the kind, degree and form of instability, were worked out and implemented into clinical practice. Such methods permit to attain a compensated or subcompensated form of knee joint stability. Ad hoc methods of management were used in 23 patients (20 males and 3 females). A total of 62 patients (51 males and 11 females) got operative treatment at the department, that permitted us to estimate fairly different methods of operative treatment of posttraumatic posterior knee joint instability. An operational intervention was performed in average 6 month after trauma. We received data in patients which had been treated with use of new methods of operative treatment as follows: good results were drawn in 93.3% (22 patients), satisfactory results--in 6.7% of cases (1 patient).