Reconstructive versus non-reconstructive treatment of anterior cruciate ligament insufficiency. A retrospective matched-pair long-term follow-up.


:In this retrospective case series 80 patients divided in 40 matched pair groups with an arthroscopically proven ACL insufficiency were followed up for 15 years. One half was reconstructed using an autologous BTB patella graft, the other half was treated by a conservative physiotherapeutic based rehabilitation program. At follow-up the clinical scores (Lysholm, IKDC) showed no significant differences between subjects who had undergone ACL reconstruction and those who had not. Furthermore there was no detectable difference in the incidence of osteoarthritis between the cohorts. Patients having a negative pivot shift test showed significantly less signs of radiographic osteoarthritis and better functional assessment scores whether reconstructed or not. Based on these results and a review of the literature there is no clear evidence that ACL reconstruction reduces the rate of OA development or improves the long-term symptomatic outcome. Probably review of reconstruction by an anatomical approach will be more successful than operative techniques decades ago.


Int Orthop


Streich NA,Zimmermann D,Bode G,Schmitt H




Has Abstract


2011-04-01 00:00:00












  • The natural history of a newly developed flexion contracture following primary total knee arthroplasty.

    abstract:PURPOSE:We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA). METHODS:Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who h...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Anania A,Abdel MP,Lee YY,Lyman S,González Della Valle A

    更新日期:2013-10-01 00:00:00

  • Micro-organisms and risk factors associated with prosthetic joint infection following primary total knee replacement-our experience in Pakistan.

    abstract:PURPOSE:To identify potential risk factors and micro-organisms associated with prosthetic joint infection following primary total knee replacement surgery. HYPOTHESIS OF STUDY:Our hypothesis is that body mass index (BMI), operative time, type of surgery, and order of surgery especially in bilateral simultaneous cases ...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究


    authors: Iqbal F,Shafiq B,Zamir M,Noor S,Memon N,Memon N,Dina TK

    更新日期:2020-02-01 00:00:00

  • Human evolution and tears of the rotator cuff.

    abstract:PURPOSE:Humans differ from other great ape species in their propensity to develop tears of the rotator cuff. The aim of this study was to compare the anatomical risk factors for subacromial impingement and rotator cuff tears amongst the great apes and to determine which features may be accentuated in humans and therefo...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Craik JD,Mallina R,Ramasamy V,Little NJ

    更新日期:2014-03-01 00:00:00

  • Fluconazole in the therapy of multiple osteomyelitis in African histoplasmosis.

    abstract::Amphotericin B has been the standard treatment for deep mycoses including African histoplasmosis, but its use is complicated by its toxicity. More recently, Fluconazole, a water-soluble triazole with antimycotic activity and little side effects, has become available. A case of African histoplasmosis from Nigeria, mani...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Onwuasoigwe O

    更新日期:1999-01-01 00:00:00

  • Mid-term results of 155 patients treated with a collum femoris preserving (CFP) short stem prosthesis.

    abstract::Short stem prostheses that preserve the femoral neck are becoming more and more popular. The CFP (collum femoris preserving) has been introduced especially for the treatment of younger patients. However, information about remodelling, complications and learning curve are thus far rare. We present a retrospective study...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Briem D,Schneider M,Bogner N,Botha N,Gebauer M,Gehrke T,Schwantes B

    更新日期:2011-05-01 00:00:00

  • Time and cost savings in arthroscopic subacromial decompression: the use of bipolar versus monopolar radiofrequency.

    abstract::There is currently an increased interest in the use of electro surgery in arthroscopy. Since the introduction of the bipolar arthroscopic radiofrequency (RF) wand, it has started to replace the classic Bovie monopolar probe on the assumption that the new technology provides multifunctional devices, combining both tiss...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验


    authors: Diab MA,Fernandez GN,Elsorafy K

    更新日期:2009-02-01 00:00:00

  • Ion release in ceramic bearings for total hip replacement: Results from an in vitro and an in vivo study.

    abstract:INTRODUCTION:Literature on the potential release of trace elements following implantation of Zirconia-platelet toughened alumina (ZPTA) ceramic components is scant. The present study therefore analysed the in vitro and in vivo potential release of ions from ZPTA bearings. MATERIAL AND METHODS:An in vitro and in vivo s...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Kretzer JP,Mueller U,Streit MR,Kiefer H,Sonntag R,Streicher RM,Reinders J

    更新日期:2018-01-01 00:00:00

  • Orthopaedic surgery and HIV disease in Africa.

    abstract::Human immunodeficiency virus (HIV) infection has radically changed African orthopaedic practice within a decade. In Lusaka, a third of adults are infected, but most have no physical signs of the disease. Early experience showed that closed fractures healed normally, the risk of sepsis during osteosynthesis was increas...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Jellis JE

    更新日期:1996-01-01 00:00:00

  • De Quervain's disease. An ultrastructural study.

    abstract::The tendon sheaths of extensor pollicis brevis (EPB) and abductor pollicis longus (APL), obtained from four patients with de Quervain's disease were studied by light and electron microscopy. Three different layers were identified in the sheath which was much thicker than normal. Both the outer and the middle layers ha...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Ippolito E,Postacchini F,Scola E,Bellocci M,De Martino C

    更新日期:1985-01-01 00:00:00

  • Osteofibrous dysplasia of the tibia treated by bracing.

    abstract::Osteofibrous dysplasia of the tibia in children will commonly recur after surgical resection. The use of a leg brace until puberty offers a useful method of conservative management. Seven female patients, age three months to nine years at the time of brace treatment, have been followed for 3.5 to 18 years, an average ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Akamatsu N,Hamada Y,Kohno H,Siddiqi NA

    更新日期:1992-01-01 00:00:00

  • Density and strength distribution in the human subchondral bone plate of the patella.

    abstract:PURPOSE:The aim of this study was to map the strength distribution of the human patella and correlate it to the subchondral bone plate density obtained by means of computed tomographyosteoabsorptiometry (CT-OAM). METHODS:Measurements were performed at 34 standardized points on each patella. The mineralization patterns...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Hoechel S,Wirz D,Müller-Gerbl M

    更新日期:2012-09-01 00:00:00

  • Deltopectoral approach for shoulder arthroplasty: anatomic basis.

    abstract:PURPOSE:The deltopectoral approach is a common surgical procedure for shoulder arthroplasty. Many surgeons are familiar with this procedure, but certain steps are still controversial. This is the case for the management of subscapularis, where surgeons must choose between tenotomy and the lesser tuberosity osteotomy. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Gadea F,Bouju Y,Berhouet J,Bacle G,Favard L

    更新日期:2015-02-01 00:00:00

  • Comparison between uncemented and cemented fixation for the tibial component in distal femoral replacement: a clinical and radiological study.

    abstract:PURPOSES:We performed a retrospective, cohort study to compare uncemented tibial fixation with cemented tibial fixation in distal femoral replacement (DFR). METHODS:Sixty-two cases with uncemented tibial fixation and 58 cases with cemented tibial fixation were included. Inter-group comparisons were performed for basel...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Liang H,Guo W,Yang R,Tang X,Yan T

    更新日期:2018-09-01 00:00:00

  • The effect of wedged insoles on the thrust of osteoarthritic knees.

    abstract::We describe a method of quantifying the lateral/medial thrust of the knee which occurs in the early phase of walking. We have used this method to evaluate the effects of wedged insoles on the lateral and medial thrust for normal knees and knees with unicompartment osteoarthritis (OA). A laterally elevated (valgus) ins...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Ogata K,Yasunaga M,Nomiyama H

    更新日期:1997-01-01 00:00:00

  • Diagnosing acute compartment syndrome-where have we got to?

    abstract:PURPOSE:Acute compartment syndrome is a condition whereby tissue ischaemia occurs due to increased pressure in a closed myofascial compartment. It is a surgical emergency, with rapid recognition and treatment-the keys to good outcomes. METHODS:The available literature on diagnostic aids was reviewed by one of the seni...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审


    authors: McMillan TE,Gardner WT,Schmidt AH,Johnstone AJ

    更新日期:2019-11-01 00:00:00

  • [Effect of a calcium inhibitor, verapamil, on the development of heterotopic ossifications. An experimental study in rats].

    abstract::After division of the tendo achilles in rats heterotopic bone forms in the muscle and in the tendon stumps. Tenotomy was performed in 26 male rats. Thirteen received Verapamil (36 mm/Kg) for six days per week for five months, and the remainder were not given this drug. The onset of heterotopic ossification was monitor...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Duriez J,Flautre B,Blary MC,Duriez R

    更新日期:1990-01-01 00:00:00

  • Resurfacing hip prostheses revisited: failure analysis during a 16-year follow-up.

    abstract::We conducted a prospective study of the clinical and radiographic variables related to the survival of 114 cementless resurfacing double-cup hip replacements (RHR) with a mean follow-up of 9 (range: 1--16) years. Three patients died, and 22 were unavailable for the final review in 2003. Sixty-one RHRs had to be revise...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Duijsens AW,Keizer S,Vliet-Vlieland T,Nelissen RG

    更新日期:2005-08-01 00:00:00

  • Causes and preventive measures of symptomatic spinal epidural haematoma after spinal surgery.

    abstract:STUDY DESIGN:This was a retrospective study to evaluate clinical characteristics of patients who developed symptomatic spinal epidural haematoma (SSEH) after spinal surgery. OBJECTIVE:The objective was to determine clinical parameters associated with the development of SSEH after spinal surgery, and to discuss clinica...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Zeng XJ,Wang W,Zhao Z,Li M

    更新日期:2017-07-01 00:00:00

  • Quantitative CT-assisted osteodensitometry of femoral adaptive bone remodelling after uncemented total hip arthroplasty.

    abstract::The aim of this prospective study was to measure bone density changes and to assess adaptive bone remodelling after uncemented total hip arthroplasty with a taper-design femoral component using quantitative computer-tomography-assisted osteodensitometry. This method is able to differentiate cortical and cancellous bon...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Pitto RP,Bhargava A,Pandit S,Walker C,Munro JT

    更新日期:2008-10-01 00:00:00

  • [Articular irrigation in arthroscopy].

    abstract::Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Martinez Moreno JL,Vaquero Martin FJ

    更新日期:1986-01-01 00:00:00

  • Acute cholecystitis after orthopaedic operations.

    abstract::When acute cholecystitis follows orthopaedic operations, the disease is frequently obscure and fulminating, with rapid progress to gangrene and perforation of the gallbladder, which may be fatal. Three cases are reported and the literature is reviewed. Various aspects of the disorder are discussed. It is important tha...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审


    authors: Abrahamson J,Eldar S

    更新日期:1988-01-01 00:00:00

  • Short-term follow up after implantation of a cell-free collagen type I matrix for the treatment of large cartilage defects of the knee.

    abstract:PURPOSE:Although there are various new scaffold-based techniques for cartilage regeneration it remains unclear up to which defect size they can be used. The present study reports of a cell-free collagen type I gel matrix for the treatment of large cartilage defects of the knee after a two-year follow-up. METHODS:Twent...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Roessler PP,Pfister B,Gesslein M,Figiel J,Heyse TJ,Colcuc C,Lorbach O,Efe T,Schüttler KF

    更新日期:2015-12-01 00:00:00

  • Periprosthetic joint infection in aseptic total hip arthroplasty revision.

    abstract:PURPOSE:There is no consensus regarding systematic screening for infection in aseptic revision total hip arthroplasty (THA). The rationale for systematic intra-operative samples is to increase the sensitivity of latent infections detection, which may require specific treatment. However, the incidence of occult infectio...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Renard G,Laffosse JM,Tibbo M,Lucena T,Cavaignac E,Rouvillain JL,Chiron P,Severyns M,Reina N

    更新日期:2020-04-01 00:00:00

  • What is the most reproducible classification system to assess tibial plateau fractures?

    abstract:PURPOSE:Traditional classification systems for tibial plateau fractures (TPF) are based on simple radiographs, and intra- and inter-observer variability is low. The aim was to assess intra- and inter-observer variability using traditional systems and some recently described classification systems of TPF in the interpre...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Millán-Billi A,Gómez-Masdeu M,Ramírez-Bermejo E,Ibañez M,Gelber PE

    更新日期:2017-06-01 00:00:00

  • Co-cultivated mesenchymal stem cells support chondrocytic differentiation of articular chondrocytes.

    abstract:PURPOSE:This study investigated which of the reciprocal stimuli between articular chondrocytes (ACs) and mesenchymal stem cells (MSCs) played the more important role in enhancing cartilage matrix formation, and examined the relative importance of physical contact and soluble factors in the co-culture system. METHODS:R...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Zuo Q,Cui W,Liu F,Wang Q,Chen Z,Fan W

    更新日期:2013-04-01 00:00:00

  • A method of treatment for nonunion after fractures using mesenchymal stromal cells loaded on collagen microspheres and incorporated into platelet-rich plasma clots.

    abstract:PURPOSE:There is evidence showing that mesenchymal stromal cells (MSC) may constitute a potential therapeutic strategy to induce bone regeneration. In this work, we investigate the capacity of autologous bone marrow (BM) MSC loaded on collagen microspheres (CM) and included into autologous platelet-rich plasma (PRP) cl...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Wittig O,Romano E,González C,Diaz-Solano D,Marquez ME,Tovar P,Aoun R,Cardier JE

    更新日期:2016-05-01 00:00:00

  • Hip score and disease activity correlation in patients with rheumatoid arthritis after total hip arthroplasty.

    abstract:PURPOSE:The disease activity score including 28 joints (DAS28), the simplified disease activity index and the clinical disease activity index (CDAI) were developed in order to provide a quantifiable measure of rheumatoid arthritis (RA) activity. Although inflamed hip joints greatly impact activities of daily living (AD...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Wakabayashi H,Hasegawa M,Yoshida K,Nishioka K,Sudo A

    更新日期:2013-07-01 00:00:00

  • Replacement arthroplasty using the Charnley prosthesis in old tuberculosis of the hip.

    abstract::This report is based upon a retrospective study of a consecutive series of twenty patients who had tuberculosis of the hip in quiescent state. Two patients had only a short history but were included in this study. An interesting feature at the time of operation was that in many cases the bone showed old features of tu...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Kim YY,Ko CU,Lee SW,Kwak BM

    更新日期:1979-01-01 00:00:00

  • Primary treatment of comminuted intertrochanteric fractures of the hip with a Leinbach prosthesis.

    abstract::The authors present 43 cases of comminuted intertrochanteric fracture, treated by replacement with a Leinbach prosthesis. The average age of the patient was 81 years, the average time of operation was 70.8 min, and the average blood loss was 502 cc. 88% of the patients were walking within 4-10 days. One deep infection...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Stern MB,Goldstein T

    更新日期:1979-03-01 00:00:00

  • The effect of a manufacturer recall on the threshold to revise a metal-on-metal hip.

    abstract:PURPOSE:Management of the unexplained, painful large diameter metal-on-metal (MOM) hip replacement is difficult. Although there are guidelines for surgeons, there is no clear documented evidence describing the overall threshold for revision surgery. The 2010 product recall of the DePuy Articular Surface Replacement (AS...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Tibrewal S,Sabah S,Henckel J,Hart A

    更新日期:2014-10-01 00:00:00