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::The aim of our study was to determine the radiographic prevalence of hip and knee osteoarthritis and compare our results with prevalence data reported by other studies, as no similar study had been performed in Hungary previously. Our aim was also to investigate the usefulness of the different radiological scoring met...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1069-6
更新日期:2011-07-01 00:00:00
abstract::Four cases of the anterior interosseous nerve syndrome, which were treated by neurolysis, are added to the sixty-five already described in the literature. The onset of symptoms is usually spontaneous and electrophysiological examination is of value in making the diagnosis. The most frequent cause of the entrapment is ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00268047
更新日期:1989-01-01 00:00:00
abstract::Forty-five patients with Paget's disease were studied, of whom 25 had fissure fractures affecting the bones of the lower limb. Ten patients treated with salmon calcitonin showed no improvement in their fissure fractures despite reduction in bone turnover. Treatment was effective where bone deformity was improved by tr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267839
更新日期:1981-01-01 00:00:00
abstract::Eighty three cases of intertrochanteric flexion osteotomy of the hip for severe osteoarthritis are reported with a five year follow up. Osteotomy is performed in the sagittal plane with flexion of the proximal fragment. The anatomical, biomechanical and operative criteria for this procedure are discussed. The indicati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266686
更新日期:1981-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to investigate whether short-arm fiberglass cast (SAC) immobilization provides fracture stabilization comparable to that of long-arm cast (LAC) treatment of displaced distal forearm fractures after closed reduction in paediatric patients. METHODS:A prospective, randomized, controlled ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04800-w
更新日期:2020-09-17 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate whether femoral antetorsion affects the range of motion (ROM) following total hip arthroplasty (THA) using 3D dynamic analysis. METHODS:Using 3D computed tomography (CT) data of 71 patients (71 hips) who underwent THA, we calculated antetorsion of the femoral neck, fle...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2452-5
更新日期:2015-01-01 00:00:00
abstract::This study evaluates the role of arthroscopy in the diagnosis of acute injuries to the knee. One hundred and fifty four patients with a suspected ligament injury or effusion of the knee joint underwent arthroscopy. A haemarthrosis was present in 82% and a bloodless effusion in 10%. Meniscal tears were found in 19% of ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00317825
更新日期:1988-01-01 00:00:00
abstract::The authors operated on 22 patients with scapular body fractures, with a mean age of 35 years. The minimal follow-up was 12 months. All patients were treated from the Judet posterior approach. The study included 14 cases of an isolated body fracture, three of scapular body fracture combined with fracture of the scapul...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1072-y
更新日期:2011-05-01 00:00:00
abstract:PURPOSE:Stromal vascular fraction (SVF) as an injectable regenerative therapy for knee osteoarthritis (OA) has gained recent popularity. However, there is no clear consensus on the outcomes of such treatment. We systematically reviewed available evidence on the use of SVF injection in the treatment of knee OA. METHODS...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04926-x
更新日期:2021-01-12 00:00:00
abstract:PURPOSE:The aims of this retrospective study were to firstly introduce three practical bulk bone graft techniques based on acetabular morphology for dysplasia and secondly evaluate the long-term durability of acetabular reconstruction using those techniques combined with cemented total hip arthroplasty (THA). METHODS:...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-3039-5
更新日期:2016-09-01 00:00:00
abstract::This study investigated the relationship of bone porosity and bone-cement interface shear strength. One hundred forty-six samples were taken from the distal metaphysis of 20 bovine femora. After cementation, the shear strength of the bone-cement interface was tested. According to the porosity, the samples were divided...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0558-3
更新日期:2009-06-01 00:00:00
abstract::Deep-vein thrombosis (DVT) and pulmonary embolism (PE) represent life-threatening postoperative complications frequently responsible for in-hospital mortality following total knee arthroplasty (TKA). Mechanical prophylaxis in the form of a foot pump offers an alternative to pharmacological and physical therapy. The ai...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-010-1091-8
更新日期:2011-07-01 00:00:00
abstract:PURPOSE:Treatment of open fractures is complex and controversial. The purpose of the present study is to add evidence to the management of open tibial fractures, where tissue loss necessitates cover with a free flap. We identified factors that increase the risk of complications. We questioned whether early flap coverag...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2712-z
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:The purpose of this study was to examine the effect of subperiosteal injection of chondroinductive growth factors on the histological and biomechanical outcome of autologous osteoperiosteal grafts. METHODS:Thirty six standardised osteochondral defects were created in the trochlear groove of 18 Göttinger Minipi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1827-3
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:Donor site pain affects 32-43 % of patients after anterior cruciate ligament surgery when the autograft is freshly harvested bone-patellar tendon-bone tissue. Our aim was to compare functional and morphological differences between donor sites with and without serum albumin-coated bone allograft filling. METHOD...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3246-8
更新日期:2016-10-01 00:00:00
abstract::To measure the strength of the juxta-articular trabecular bone in knee replacement, an osteopenetrometer was developed. The principle of its function is tha a needle penetrates the bony tissue and during this penetration the pressure on and the displacement of the needle is registered. The instrument was tested on cad...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271079
更新日期:1981-01-01 00:00:00
abstract::Twenty three patients with lumbar spondylolisthesis (6 Grade I, 14 Grade II and 3 Grade III) with low back pain, and radicular pain in 14, were treated surgically when they failed to respond to conservative treatment. Their average age was 33.2 years. Bilateral posterolateral spinal fusions with autologous iliac bone ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050249
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:Extracorporeal shockwave therapy (ESWT) has become a common practice for treating knee osteoarthritis (OA). However, the effectiveness and safety of this treatment are still questionable. This meta-analysis is aimed at determining the degree of pain reduction and functional outcome after ESWT for knee OA. METH...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-020-04489-x
更新日期:2020-05-01 00:00:00
abstract::We describe a patient with acute compression of the spinal cord by a spontaneous extra-dural haematoma. This rare condition is often misdiagnosed. We believe that an urgent MRI scan is indicated in patients presenting with progressive neurological deficit following spinal trauma. This allows the diagnosis of extra-dur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050103
更新日期:1996-01-01 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
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4268-1
更新日期:2019-10-01 00:00:00
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
doi:10.1007/s00264-019-04366-2
更新日期:2020-04-01 00:00:00
abstract::Uncemented, threaded acetabular components with smooth surface treatment were widely used in continental Europe in the 1970s and 1980s for primary total hip arthroplasty (THA). Previously published studies showed high failure rates in the mid-term. In a consecutive series of 116 patients, 127 threaded cups with smooth...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0844-8
更新日期:2010-10-01 00:00:00
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
doi:10.1007/s00264-016-3130-6
更新日期:2016-05-01 00:00:00
abstract:PURPOSE:To compare post-operative pain relief with peri-articular injection (PI) versus interscalene brachial plexus block (IBPB) after arthroscopic rotator cuff repair (ARCR) surgery. METHODS:We retrospectively reviewed 121 consecutive patients undergoing ARCR surgery divided into two groups: the PI group and the IBP...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4096-3
更新日期:2019-06-01 00:00:00
abstract:AIM OF THE STUDY:The aim of this study was to evaluate the radiographic effect of sagittal tibial osteotomy (STO), flexion tibial osteotomy (FTO) and deflexion tibial osteotomy (DTO) around the knee. It has been hypothesized that proximal STO modifies patellar height and could cause varus/valgus changes of the anatomic...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04580-3
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION:Fracture neck of femur (hip fracture) is a very common problem among old age group. Such elderly patients usually have some comorbidities for which they may use anti-platelet therapy (such as clopidogrel, aspirin, or others) for long duration (chronic use). These anti-platelet medications might make the bl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04633-7
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3295-z
更新日期:2017-02-01 00:00:00
abstract::Ten cases of histologically proven chondromyxoid fibroma (CMF) of the foot and ankle with a mean follow-up of 6.1 years were retrospectively reviewed using the Scottish Bone Tumour Registry. The patients' mean age was 19 years; there were six males and four females. The anatomical locations were five phalangeal, three...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0046-y
更新日期:2006-06-01 00:00:00
abstract:PURPOSE:Relatively little is known about the extent to which periprosthetic joint infections (PJI) affect the patient's long-term quality of life (QoL). Our study aim was to assess the effect of a periprosthetic infection on our patients' QoL. METHODS:We collected data retrospectively of patients who had undergone sur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2265-y
更新日期:2014-05-01 00:00:00