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[Advantages and problems in acute management of injuries of the capsular ligament system of the knee joint].

Between 1983 and 1985, immediate surgical treatment was received by 34 of 119 patients (28.5 per cent) admitted for acute injuries to capsular ligaments of the knee joint. Good results were achieved in 90 per cent of these cases. Immediate suspicion of acute capsular ligament injury on admission to the outpatient section or casualty ward, nodelay definite diagnosis, surgical action in acute condition as well as subtle and anatomically adequate restoration of all injured structures are the major conditions that must be satisfied for good success of this approved principle. Intensive physiotherapeutic after-care must be another integral component of a clearly defined therapeutic concept. Causes for delays in diagnosis and therapy are analysed, and conclusions are drawn.