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The Journal of Bone and Joint Surgery, Vol 64, Issue 5 691-699, Copyright © 1982 by Journal of Bone and Joint Surgery, Inc
Bone-block transfer of the medial head of the gastrocnemius for posterior cruciate insufficiency
JN Insall and RW Hood
An operation is described in which the medial head of the gastrocnemius is
firmly fixed by a cancellous screw, through an attached bone block, to the
medial femoral condyle to serve as an intraarticular graft for the control
of chronic posterior instability of the knee. This procedure was done in
eight patients, with a follow-up of twenty-nine to forty-eight months. The
delay from injury to reconstruction averaged forty-two months (range, five
to eighty-four months). At follow-up, stability was improved in all of the
eight patients and the result was rated as good or excellent in six of
them. One failure was due to unrelieved pain and in another patient a
second injury led to reoperation. Because minimum immobilization is
necessary, the postoperative care with this procedure is simplified and the
period of rehabilitation is shorter.

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