Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA最新文献_第10页

ACL reconstruction using bone-patellar tendon-bone press-fit fixation: 10-year clinical results. 骨-髌腱-骨加压固定重建前交叉韧带:10年临床结果。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-05-01 Epub Date: 2005-02-03 DOI: 10.1007/s00167-004-0606-5

P Hertel, H Behrend, T Cierpinski, V Musahl, G Widjaja

{"title":"ACL reconstruction using bone-patellar tendon-bone press-fit fixation: 10-year clinical results.","authors":"P Hertel, H Behrend, T Cierpinski, V Musahl, G Widjaja","doi":"10.1007/s00167-004-0606-5","DOIUrl":"https://doi.org/10.1007/s00167-004-0606-5","url":null,"abstract":"Multiple techniques for anterior cruciate ligament (ACL) reconstruction are currently available, most of which use hardware or resorbable material for fixation of the graft inside or outside the bony tunnels. In this study, the long-term results of 95 patients at a mean follow-up of 10.7 years were assessed. The ACL was reconstructed using a patellar tendon autograft with a press-fit fixation. Between 1987 and 1991, 159 patients were operated by the senior author (PH), 95 could be seen for follow-up. Evaluation included detailed history, physical examination, functional knee ligament testing, KT-1000 arthrometer testing, the IKDC standard evaluation form, Lysholm, Flandry, and Tegner scoring systems. Radiographs were obtained preoperatively and at follow-up to assess the grade of osteoarthritis. Subjectively, none of the patients that were seen for follow-up complained of instability. Numbness of the skin was reported by 54% of the patients and pain during knee walking was described as mild in 25% and severe in 2%. The mean Flandry score was 243 (max: 280). The mean Lysholm score was 93.2 at follow-up and the Tegner activity level was 6.8 preinjury and 6.0 postoperatively. The average KT-1000 side-to-side difference was 1.8 mm on a manual maximum pull. The IKDC knee scoring revealed 84% of the patients with normal (A) or nearly normal (B) knee joints, 15% were (C), 1% was (D). Radiographically, joint space narrowing was found in 19%, 15%, and 25% for the patello-femoral, medial, and lateral compartments, respectively. Meniscus surgery was a determining factor. This study presents long-term clinical data on a press-fit fixation for ACL reconstruction. Results were excellent and good in more then 80% of the followed patients. The advantages of the press-fit fixation are direct bone-to-bone healing of the graft, decreased donor site morbidity, cost-effectiveness and ease for revision surgery.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"248-55"},"PeriodicalIF":3.8,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-004-0606-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24939744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 185

Idiopathic osteonecrosis of the medial tibial plateau. 胫骨平台内侧的特发性骨坏死。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-05-01 Epub Date: 2004-10-02 DOI: 10.1007/s00167-004-0513-9

J R Valentí, J A Illescas, A Barriga, R Dölz

{"title":"Idiopathic osteonecrosis of the medial tibial plateau.","authors":"J R Valentí, J A Illescas, A Barriga, R Dölz","doi":"10.1007/s00167-004-0513-9","DOIUrl":"https://doi.org/10.1007/s00167-004-0513-9","url":null,"abstract":"Osteonecrosis of the medial tibial plateau is characterized by acute pain on the medial aspect of the knee. Progression can lead to articular collapse and requires early diagnosis and treatment. We studied seven patients affected of idiopathic osteonecrosis of the tibial plateau. The mean age was 62 years and the mean follow-up 42 months. We performed roentgenograms in all patients, bone scans in three patients and magnetic resonance image (MRI) in five. MRI shows T1-weighted low-intensity signal and T2-weighted high-intensity signal with a surrounding area of intermediate low-intensity signal. An increased focal uptake was seen at bone scan. Histological findings showed necrotic bone with empty lacunae. Surgical treatment consisted of tibial subchondral drilling in four patients-two of them by failure of conservative treatment, and a total knee arthroplasty in other two. One patient had a satisfactory evolution with conservative treatment. Idiopathic osteonecrosis of the tibial plateau must be considered in elderly patients with knee pain over the medial tibial plateau. At early stages, decompression with tibial drilling must be considered. This procedure allows a prompt and effective relief of symptoms.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"293-8"},"PeriodicalIF":3.8,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-004-0513-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25093442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Bone mineral density of the proximal metaphysis of tibia: clinical relevance in posterior cruciate ligament reconstruction. 胫骨近端干骺端骨密度:后交叉韧带重建的临床意义。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-05-01 Epub Date: 2005-02-01 DOI: 10.1007/s00167-004-0564-y

Pier Paolo Mariani, Fabrizio Margheritini, Alberto Bellelli

{"title":"Bone mineral density of the proximal metaphysis of tibia: clinical relevance in posterior cruciate ligament reconstruction.","authors":"Pier Paolo Mariani, Fabrizio Margheritini, Alberto Bellelli","doi":"10.1007/s00167-004-0564-y","DOIUrl":"https://doi.org/10.1007/s00167-004-0564-y","url":null,"abstract":"The objective of this study was to evaluate the bone mineral density (BMD) of the proximal tibia in the area adjacent to the fixation of the posterior cruciate ligament (PCL) and compare with the BMD in a similar area at the ideal site for anterior cruciate ligament fixation. Twenty healthy male subjects, undertaking similar daily physical activity were enrolled for this study. The mean age of the subjects was 22 years (range 20-24 years). The bone mineral density (BMD) at the proximal tibia was calculated using a quantitative CT scan of the dominant knee, and the data were recorded in Hounsfield units (HU). Two circular regions of interest, anterior and posterior, of identical diameters (10 mm) and thicknesses (5 mm) were studied. The results showed a significantly higher BMD in the anterior region (162.4 +/- 33.8 HU) than in the posterior one (104 +/- 24.6 HU) with a statistically significant difference (p=0.0001). The clinical implication of this finding is that the fixation should provide a firm construct for PCL reconstructions and be specifically designed for working in low bone quality areas such as the posterior proximal tibia.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"263-7"},"PeriodicalIF":3.8,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-004-0564-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25103608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Type IIIB tibial intercondylar eminence fracture associated with a complex knee dislocation in a grossly obese adult. 一例严重肥胖成人伴复杂膝关节脱位的IIIB型胫骨髁间隆起骨折。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-05-01 Epub Date: 2004-10-01 DOI: 10.1007/s00167-004-0520-x

H Sharma, G K Singh, M Gupta, M Moss

引用次数: 17

Clinical and functional comparison of uni- and bicondylar sledge prostheses. 单髁和双髁雪橇假体的临床和功能比较。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-04-01 Epub Date: 2004-12-24 DOI: 10.1007/s00167-004-0580-y

S Fuchs, C O Tibesku, D Frisse, M Genkinger, H Laass, D Rosenbaum

{"title":"Clinical and functional comparison of uni- and bicondylar sledge prostheses.","authors":"S Fuchs, C O Tibesku, D Frisse, M Genkinger, H Laass, D Rosenbaum","doi":"10.1007/s00167-004-0580-y","DOIUrl":"https://doi.org/10.1007/s00167-004-0580-y","url":null,"abstract":"The aim of the present study was the evaluation of differences in clinical results, proprioceptive performance and gait in patients with unicondylar and bicondylar sledge prostheses of the knee. In a retrospective study, 17 patients with unicondylar sledge prostheses were compared with 15 patients with bicondylar sledge prostheses. Clinical examination was rated using HSS, Knee Society, and patellar scores and a visual analogue scale for pain. Proprioceptive performance was examined using sway measurements during single leg stance on a force platform. In addition, the patients underwent 3-D gait analysis including measurements of ground reaction forces and surface electromyographic (EMG) investigation of the lower extremity. Comparing both patient groups in clinical scores, gait, EMG and proprioception, no significant differences were found. Implantation of bicondylar sledge prostheses retaining both cruciate ligaments achieves functional results as good as unicompartmental arthroplasty. The presented results might encourage future research on new models of total joint replacement with preservation of both cruciate ligaments.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"197-202"},"PeriodicalIF":3.8,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-004-0580-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25048182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 57

Anatomical repair of lateral ligaments in patients with chronic ankle instability. 慢性踝关节不稳患者外侧韧带的解剖修复。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-04-01 Epub Date: 2004-11-18 DOI: 10.1007/s00167-004-0562-0

R Schmidt, S Benesch, B Friemert, A Herbst, L Claes, H Gerngross

{"title":"Anatomical repair of lateral ligaments in patients with chronic ankle instability.","authors":"R Schmidt, S Benesch, B Friemert, A Herbst, L Claes, H Gerngross","doi":"10.1007/s00167-004-0562-0","DOIUrl":"https://doi.org/10.1007/s00167-004-0562-0","url":null,"abstract":"In a prospective study, 19 patients with chronic ankle instability underwent clinical and radiographic reexaminations 36 months after anatomical reconstruction. In addition, dynamic pedography was conducted and peroneal reaction time measured on a tilting platform for an evaluation of functional aspects. Prior to this examination, 32 patients had been asked to fill in a questionnaire and make a detailed subjective evaluation of current discomfort, stability, flexibility and sporting abilities. Eighty-eight percent of the patients reported satisfactory results; only 3% complained of persistent instability. In 71% the ability to take part in sports had improved after surgery, and 85% of the patients reported unrestricted walking abilities. Supination ability was impaired in 5% of the patients at the follow-up. The radiographic examination showed restored ankle stability with a significant reduction of talar tilt and talar translation; a postoperative increase in signs and symptoms of arthrosis was not observed. Dynamic pedography showed a large degree of symmetry of plantar pressure distribution after surgery. There were no significant differences in peroneal reaction time in the repaired and intact ankles. The results of the study show that it is possible to restore ankle stability with anatomical reconstruction without impairing the range of movement in the ankle joint complex. Progressive osteoarthrosis can be prevented.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"231-7"},"PeriodicalIF":3.8,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-004-0562-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25225558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 35

The influence of tibial slope on maximal flexion after total knee arthroplasty. 胫骨斜度对全膝关节置换术后最大屈曲的影响。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-04-01 Epub Date: 2004-10-26 DOI: 10.1007/s00167-004-0557-x

J Bellemans, F Robijns, J Duerinckx, S Banks, H Vandenneucker

{"title":"The influence of tibial slope on maximal flexion after total knee arthroplasty.","authors":"J Bellemans, F Robijns, J Duerinckx, S Banks, H Vandenneucker","doi":"10.1007/s00167-004-0557-x","DOIUrl":"https://doi.org/10.1007/s00167-004-0557-x","url":null,"abstract":"Many surgeons believe that increasing the tibial slope in total knee arthroplasty (TKA) is beneficial with regard to maximal postoperative flexion. Review of the clinical literature, however, does not confirm this hypothesis, neither does it give an answer to the question of how much flexion gain can be expected per degree extra tibial slope. The purpose of this study was, therefore, to evaluate and quantify the influence of tibial slope on maximal postoperative flexion in contemporary posterior cruciate ligament (PCL)-retaining TKA. Twenty-one cadaver simulations of a standard PCL-retaining TKA were studied while reproducing identical deep flexion femorotibial kinematics as documented by three-dimensional computer-aided videofluoroscopy from patients with well-functioning TKAs of the same design. In each knee the tibial component was consecutively implanted with 0 degrees posterior slope, 4 degrees posterior slope, and 7 degrees posterior slope. Maximal flexion was recorded for each configuration. Average maximal flexion at 0 degrees tibial slope was 104 degrees, and increased significantly to 112 degrees when the same knees were implanted with 4 degrees tibial slope. Increasing the slope further to 7 degrees again significantly improved average maximal flexion to 120 degrees. When postoperative radiographic tibial slope was compared to maximal flexion, an average gain of 1.7 degrees flexion for every degree extra tibial slope was noted. Increasing the tibial slope in PCL-retaining TKA does indeed improve maximal flexion before tibial insert impingement occurs against the femoral bone. The surgeon can expect an average gain of 1.7 degrees flexion for every degree extra tibial slope.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"193-6"},"PeriodicalIF":3.8,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-004-0557-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25225557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 215

Behavior of arthroscopic irrigation systems. 关节镜下灌溉系统的行为。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2005-04-01 Epub Date: 2005-01-04 DOI: 10.1007/s00167-004-0573-x

G J M Tuijthof, L Dusée, J L Herder, C N van Dijk, P V Pistecky

{"title":"Behavior of arthroscopic irrigation systems.","authors":"G J M Tuijthof, L Dusée, J L Herder, C N van Dijk, P V Pistecky","doi":"10.1007/s00167-004-0573-x","DOIUrl":"https://doi.org/10.1007/s00167-004-0573-x","url":null,"abstract":"In the literature, no consensus exists about optimal irrigation of joints during arthroscopic operations. The goal of this paper is to study the behavior of irrigation systems resulting in the proposal of guidelines for optimal irrigation. To this end, optimal irrigation is defined as the steady state of irrigation of a joint in which a sufficient positive intra-articular pressure and a sufficient flow are maintained. A model of the complete irrigation system was created to schematically elucidate the behavior of pump systems. Additionally, clinical experiments were performed during arthroscopic knee operations in which the pressure at different locations and the irrigation flow were measured. The combination of model prediction and clinical results could well be used to derive guidelines, since the clinical results, which showed considerable variation, were used to verify the model, and the model could be used to explain the typical trends. The main findings are twofold the set pressure is always higher than the intra-articular pressure, and the scope-sheath combination has a significant influence on irrigation control, because of its large restriction. Based on the results, we advice to increase the set pressure during active suction, and to include the sheath-scope combination in the control loop.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"238-46"},"PeriodicalIF":3.8,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-004-0573-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25057248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

Ultrasound treatment of nonunion of the hook of the hamate in sports activities. 体育运动中钩骨不连的超声治疗。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2004-03-01 Epub Date: 2003-09-20 DOI: 10.1007/s00167-003-0425-0

Hiroyuki Fujioka, Juichi Tanaka, Shinichi Yoshiya, Masaya Tsunoda, Kenji Fujita, Nobuzo Matsui, Takeshi Makino, Masahiro Kurosaka

引用次数: 19

Bilateral vs. unilateral spinal anesthesia for outpatient knee arthroscopies. 双侧与单侧脊柱麻醉在门诊膝关节镜检查中的应用。

IF 3.8

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Pub Date : 2004-03-01 Epub Date: 2003-02-22 DOI: 10.1007/s00167-003-0350-2

Aliye Esmaoglu, Sinan Karaoglu, Ayse Mizrak, Adem Boyaci

{"title":"Bilateral vs. unilateral spinal anesthesia for outpatient knee arthroscopies.","authors":"Aliye Esmaoglu, Sinan Karaoglu, Ayse Mizrak, Adem Boyaci","doi":"10.1007/s00167-003-0350-2","DOIUrl":"https://doi.org/10.1007/s00167-003-0350-2","url":null,"abstract":"This prospective randomized study compared unilateral and bilateral spinal anesthesia with respect to intraoperative and postoperative complications, and time to discharge from hospital for knee arthroscopies in outpatients. We studied 70 ASA I patients scheduled for elective outpatient knee arthroscopy. The patients were randomly allocated into two groups to receive either 3 ml (15 mg) 0.5% hyperbaric bupivacaine (bilateral group) or 1.5 ml (7.5 mg) 0.5% hyperbaric bupivacaine (unilateral group). The duration of motor and sensory block and the time to discharge from the hospital were all recorded. Perioperative complications such as hypotension, bradycardia, nausea, vomiting, urinary retention, if present, were recorded. The patients were interviewed by telephone 7 days later, and each patient was asked about headache or backache. The duration of motor and sensory block, and the time to discharge from hospital was shorter in the unilateral group than in the bilateral group. Three patients in the bilateral group were treated for hypotension. Bradycardia occurred in two patients in the bilateral group, and three patients required temporary bladder catheterization due to delay in recovery of spontaneous urination. Nausea and vomiting occurred in three patients in bilateral group. Nine patients in the bilateral group and six patients in the unilateral group developed postspinal headache. Backache occurred in five patients in the bilateral group and in six patients in the unilateral group. Our data indicate that the use of unilateral spinal block is a suitable technique for knee arthroscopies in outpatients.","PeriodicalId":520702,"journal":{"name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","volume":" ","pages":"155-8"},"PeriodicalIF":3.8,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00167-003-0350-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40844034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 56