Abstract:
: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.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Streich NA,Zimmermann D,Bode G,Schmitt Hdoi
10.1007/s00264-010-1174-6subject
Has Abstractpub_date
2011-04-01 00:00:00pages
607-13issue
4eissn
0341-2695issn
1432-5195journal_volume
35pub_type
杂志文章abstract::Between 1993 and 1998, 49 consecutive patients with impending or complete pathological fractures of the femur due to metastatic bone disease were treated with intramedullary nailing. Twenty-four were treated with a long Gamma nail and 32 with an AO nail with a cephalomedullary spiral blade. Both implants gave a good f...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000114
更新日期:2000-01-01 00:00:00
abstract::Precise evaluation of bone loss and bone viability is necessary in order to select the most appropriate operation for patients with osteonecrosis of the femoral head. Bone destruction, and its exact location, can be assessed by computed axial tomography. The viability of remaining bone can be observed at operation by ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00269498
更新日期:1983-01-01 00:00:00
abstract::We assessed the anti-rheumatic effects of radical multiple synovectomy (RaMS) in patients with rheumatoid arthritis (RA) who did not respond to intensive medical treatment. The selection of patients into three groups, A, B or C, was randomised. Patients assigned to group A (n = 28) continued the prescribed pre-operati...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002640000168
更新日期:2000-01-01 00:00:00
abstract:AIM OF THE STUDY:The aim of the study was to investigate functional and patient-rated outcome parameters after endoscopic assisted release of the ulnar nerve for cubital tunnel syndrome. METHODS:One hundred of 204 consecutive patients between 2006 and 2011 met the inclusion/exclusion criteria. Fifty-one of these patie...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3760-y
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:We will test the hypothesis that ultrasound supported by polymerase chain reaction (PCR) could improve bacterial identification in non-infected prosthetic joint loosening. The aim was to detect bacterial species in non-infected prosthetic joint loosening using ultrasound and 16S rRNA gene sequencing. METHODS:A...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1955-9
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and pres...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-2143-7
更新日期:2014-04-01 00:00:00
abstract::A series of 199 total hip arthroplasties was performed using a porous-coated, hemispherical press-fit acetabular cup. At a mean follow-up of 91.5 months 158 cups were available for clinical and radiological review. The mean age of the patients at the time of the index arthroplasty was 62.5 years. The mean Harris Hip s...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100265
更新日期:2001-01-01 00:00:00
abstract::The expectations of both the patient and surgeon have been greatly revised in the last 10 years with the introduction of pedicle screws (PS) in spinal surgery. In this study, we have retrospectively evaluated and compared the results of PS instrumentation and the Hybrid System (HS), the latter consists of pedicle scre...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0359-0
更新日期:2008-08-01 00:00:00
abstract:PURPOSE:Rheumatoid arthritis has been associated with poor clinical outcomes in hemiarthroplasty and unconstrained total shoulder arthroplasty. The reverse shoulder arthroplasty can be utilized to address the shortcomings of hemiarthroplasty and unconstrained total shoulder arthroplasty in the inflammatory arthritis pa...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04373-3
更新日期:2019-11-01 00:00:00
abstract::Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271309
更新日期:1987-01-01 00:00:00
abstract::Five cases of fracture of the lateral tibial condyle of the split-depression type were treated by elevation of the depressed fragment, bone grafting and cancellous bone screws. During the operation, tantalum markers were inserted into the depressed fragment and the tibial metaphysis for radiographic stereophotogrammet...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192467
更新日期:1994-06-01 00:00:00
abstract:PURPOSE:This prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04699-3
更新日期:2020-10-01 00:00:00
abstract:PURPOSE:The myofibroblast, a contractile fibroblastic cell expressing α-smooth muscle actin (α-SMA), has been reported to play a role in ligament healing. The aim of this study was to evaluate the feasibility of transplanting culture-derived myofibroblasts in injured rabbit medial collateral ligaments (MCL) and in inta...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1519-4
更新日期:2012-08-01 00:00:00
abstract::We studied human specimens and compared data on cartilage thickness measurements with magnetic resonance imaging by using an image analysing system with corresponding histological sections in the middle of each sector. The findings are based on 768 measurements in 26 knee joints. Overall, there was very good magnetic ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050367
更新日期:1999-01-01 00:00:00
abstract::A technique of oblique tibial osteotomy is described which is effective in correcting varus and medial rotational deformities in young children. The oblique cut in one plane corrects both elements of the deformity at the same time. We have used the method on both legs in four children and satisfactory results were obt...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183361
更新日期:1990-01-01 00:00:00
abstract::Patients with osteoarthritis of the knee often require bilateral knee replacement before fulfilling their full ambulatory potential. Despite extensive research there is considerable debate about the risks of performing simultaneous bilateral knee replacements under the same anaesthetic. Our aim was to compare the rela...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0447-1
更新日期:2009-02-01 00:00:00
abstract::Pure alumina ceramic has been in clinical use in orthopaedics since 1971 and, currently, up to 5 million components have been implanted. Alumina offers advantages like stability, biocompatibility and low wear; however, it has limited strength. Applications are limited by design considerations. Engineers in biomaterial...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-007-0484-9
更新日期:2009-04-01 00:00:00
abstract:PURPOSE:The purpose of this study was to introduce a novel method of percutaneous achievement and maintenance of reduction for acute displaced scaphoid fractures and evaluate the feasibility of this method in treating acute displaced scaphoid fractures as well as explore its indications. METHODS:From February 2012 to ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3758-5
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:Studies on total knee arthroplasty (TKA) in Saudi Arabia are scarce, and none have reported the knowledge and attitude of the procedure in Saudi Arabia. Our study aims to measure the knowledge and attitude of TKA among the adult Saudi population. METHODS:To encompass a representative sample of this cross-secti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3743-4
更新日期:2018-04-01 00:00:00
abstract:AIM:Computerized navigation of unicondylar knee arthroplasties (UKA) is not a widespread technique. The lifespan of a UKA depends on the quality of its implantation. We know that overcorrection leads to a rapid extension of the osteoarthritis to the opposite side of the knee and undercorrection to a rapid loosening or ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3293-1
更新日期:2017-02-01 00:00:00
abstract:PURPOSE:Hip-joint empyema is a severe local infection that can cause general illness and, in the worst-case scenario, death by septic complications. For severe hip-joint infections, the Girdlestone arthroplasty has been an established treatment option for many decades. We describe functional midterm results after treat...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1351-2
更新日期:2012-05-01 00:00:00
abstract:PURPOSE:Anterior shoulder dislocation can be associated with many lesions such as Bankart lesions, rotator cuff tears (RCT), Hill-Sachs lesions or greater tuberosity fractures. It has been documented that early management of the associated injury affords better recovery of shoulder function. The aim of this study was t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2862-z
更新日期:2016-03-01 00:00:00
abstract::We reviewed 27 patients with a minimally displaced proximal humeral fracture treated conservatively after a mean follow-up of 25 (12-34) months. All fractures had united. Patients were evaluated using the Constant-Murley scoring system, and isokinetic muscle strength was tested using a Cybex dynamometer. Finally, all ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0552-3
更新日期:2004-08-01 00:00:00
abstract::This study prospectively assessed the outcome of 134 cemented titanium stems and serum ion levels. The stems were polished (0.1 microm Ra) with circular cross section. At the end point, only one stem revision was performed for aseptic loosening, and two were planned due to subsidence greater than 5 mm. Non-progressive...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0678-9
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:The purpose of this study was to compare the load-to-failure of different common suturing techniques with a new technique for the medial meniscus posterior root tear (MMPRT). METHODS:Thirty porcine medial menisci were randomly assigned to three suturing techniques used for transtibial pullout repair of the MMP...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3561-8
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:The aim of the study was to investigate risk factors for metastasis at diagnosis. METHODS:We collected patients diagnosed with conventional chondrosarcoma between 1983 and 2014 from the Surveillance, Epidemiology, and End Results (SEER) database. Each patient was classified as having metastatic or localized di...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3942-7
更新日期:2018-12-01 00:00:00
abstract::The haematological and orthopaedic complications of patients with sickle cell disease from two different regions of Arabia are presented. Nineteen patients from the South-western region were matched for age and sex with an equal number from the Eastern region. The mean sickle cell haemoglobin was 75.95% in those from ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182718
更新日期:1992-01-01 00:00:00
abstract::Over 10 years, 842 consecutive autopsies on patients dying from a malignant neoplasm were evaluated microscopically to determine the incidence of spinal and skeletal metastases. Vertebral wedging, sclerosis and areas of osteolysis were defined as features of spinal metastases. The incidence was 30.6%, 65% of which aro...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181116
更新日期:1995-01-01 00:00:00
abstract::Between 1971 and 1987, we treated 26 patients with congenital absence of the radius which had produced a club hand; 37 hands were affected. Treatment before the age of 8 months was by gentle manipulation and serial plasters. If a functional position was not obtained, and in patients over 8 months, surgical reduction w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00194186
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to find a suitable method of labelling cartilage samples for the measurement of distraction distances in biomechanical testing. METHODS:Samples of bovine cartilage were labelled using five different methods: hydroquinone and silver nitrate (AgNO3), potassium permanganate (KMnO4) w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1468-3
更新日期:2012-07-01 00:00:00