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

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 Orthop

authors

Streich NA,Zimmermann D,Bode G,Schmitt H

doi

10.1007/s00264-010-1174-6

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

607-13

issue

4

eissn

0341-2695

issn

1432-5195

journal_volume

35

pub_type

杂志文章
  • Femoral metastatic fractures treated with intramedullary nailing.

    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

    authors: Gibbons CE,Pope SJ,Murphy JP,Hall AJ

    更新日期:2000-01-01 00:00:00

  • Computed axial tomography and Disulphine Blue in the evaluation of osteonecrosis of the femoral head.

    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

    authors: Casteleyn PP,De Boeck H,Handelberg F,Opdecam P

    更新日期:1983-01-01 00:00:00

  • The anti-rheumatic effect of multiple synovectomy in patients with refractory rheumatoid arthritis.

    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

    authors: Nakamura H,Nagashima M,Ishigami S,Wauke K,Yoshino S

    更新日期:2000-01-01 00:00:00

  • Functional outcome after endoscopic assisted release of the ulnar nerve for cubital tunnel syndrome: mid-to-long term results.

    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

    authors: Spies CK,Schäfer M,Langer MF,Bruckner T,Müller LP,Unglaub F

    更新日期:2018-06-01 00:00:00

  • Identification of silent prosthetic joint infection: preliminary report of a prospective controlled study.

    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

    authors: Bereza PL,Ekiel A,Auguściak-Duma A,Aptekorz M,Wilk I,Kusz DJ,Wojciechowski P,Martirosian G

    更新日期:2013-10-01 00:00:00

  • Operative or conservative treatment in patients with Rockwood type III acromioclavicular dislocation: a systematic review and update of current literature.

    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

    authors: Korsten K,Gunning AC,Leenen LP

    更新日期:2014-04-01 00:00:00

  • Cementless cup fixation in total hip arthroplasty after 5-8 years.

    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

    authors: Spicer DD,Schaper LA,Pomeroy DL,Badenhausen WE Jr,Curry JI,Suthers KE,Smith MW

    更新日期:2001-01-01 00:00:00

  • Comparative analysis of pedicle screw versus hybrid instrumentation in adolescent idiopathic scoliosis surgery.

    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

    authors: Karatoprak O,Unay K,Tezer M,Ozturk C,Aydogan M,Mirzanli C

    更新日期:2008-08-01 00:00:00

  • Reverse shoulder arthroplasty for rheumatoid arthritis since the introduction of disease-modifying drugs.

    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

    authors: Mangold DR,Wagner ER,Cofield RH,Sanchez-Sotelo J,Sperling JW

    更新日期:2019-11-01 00:00:00

  • Percutaneous discectomy of the lumbar spine.

    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

    authors: Caspi I,Ezra E,Nerubay J,Lin E,Tadmor R,Horoszovski H

    更新日期:1987-01-01 00:00:00

  • Stability of the elevated fragment in tibial plateau fractures. A radiographic stereophotogrammetric study of postoperative healing.

    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

    authors: Ryd L,Toksvig-Larsen S

    更新日期:1994-06-01 00:00:00

  • Combined use of tranexamic acid and rivaroxaban in posterior lumbar interbody fusion safely reduces blood loss and transfusion rates without increasing the risk of thrombosis-a prospective, stratified, randomized, controlled trial.

    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

    authors: Zhang L,Li Y,Liu D,Xiao X,Guan T,Yue H,Xue H,Zhou H,Jiao G,Wu W,Wang H,Liu H,Meng C,Sun Z,Chen Y

    更新日期:2020-10-01 00:00:00

  • Autologous transplantation of culture-born myofibroblasts into intact and injured rabbit ligaments.

    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

    authors: Laumonier T,Michel M,Gabbiani G,Hoffmeyer P,Bochaton-Piallat ML,Menetrey J

    更新日期:2012-08-01 00:00:00

  • Measurement of cartilage thickness in the human knee-joint by magnetic resonance imaging using a three-dimensional gradient-echo sequence.

    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

    authors: Kladny B,Martus P,Schiwy-Bochat KH,Weseloh G,Swoboda B

    更新日期:1999-01-01 00:00:00

  • Oblique tibial osteotomy for rotational and varus deformities in children.

    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

    authors: Eguchi M,Ogata K,Kawamura H,Shiota E,Sugioka Y

    更新日期:1990-01-01 00:00:00

  • The relative safety of one-stage bilateral total knee arthroplasty.

    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

    authors: Luscombe JC,Theivendran K,Abudu A,Carter SR

    更新日期:2009-02-01 00:00:00

  • Emergence of the alumina matrix composite in total hip arthroplasty.

    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

    authors: Masson B

    更新日期:2009-04-01 00:00:00

  • A novel percutaneous achievement and maintenance of reduction and screw fixation for acute displaced scaphoid fractures: minimum two-year follow-up.

    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

    authors: Yu Y,Cui H,Yang X,Yu X,Bai Y

    更新日期:2018-08-01 00:00:00

  • Knowledge and attitude towards total knee arthroplasty among the public in Saudi Arabia: a nationwide population-based study.

    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

    authors: Al-Mohrej OA,Alshammari FO,Aljuraisi AM,Bin Amer LA,Masuadi EM,Al-Kenani NS

    更新日期:2018-04-01 00:00:00

  • Computerised navigation of unicondylar knee prostheses: from primary implantation to revision to total knee arthroplasty.

    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

    authors: Saragaglia D,Marques Da Silva B,Dijoux P,Cognault J,Gaillot J,Pailhé R

    更新日期:2017-02-01 00:00:00

  • Surgical therapy of hip-joint empyema. Is the Girdlestone arthroplasty still up to date?

    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

    authors: Oheim R,Gille J,Schoop R,Mägerlein S,Grimme CH,Jürgens C,Gerlach UJ

    更新日期:2012-05-01 00:00:00

  • Prevalence of associated injuries after anterior shoulder dislocation: a prospective study.

    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

    authors: Atef A,El-Tantawy A,Gad H,Hefeda M

    更新日期:2016-03-01 00:00:00

  • Proximal humeral fractures with minimal displacement treated conservatively.

    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

    authors: Keser S,Bölükbaşi S,Bayar A,Kanatli U,Meray J,Ozdemir H

    更新日期:2004-08-01 00:00:00

  • Clinical and biological assessment of cemented titanium femoral stems: an 11-year experience.

    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

    authors: Boyer P,Lazennec JY,Poupon J,Rousseau MA,Ravaud P,Catonné Y

    更新日期:2009-10-01 00:00:00

  • Tensile strength of the pullout repair technique for the medial meniscus posterior root tear: a porcine study.

    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

    authors: Fujii M,Furumatsu T,Xue H,Miyazawa S,Kodama Y,Hino T,Kamatsuki Y,Ozaki T

    更新日期:2017-10-01 00:00:00

  • Risk factors for metastasis at presentation with conventional chondrosarcoma: a population-based study.

    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

    authors: Song K,Shi X,Liang X,Wang H,Zou F,Lu F,Ma X,Jiang J

    更新日期:2018-12-01 00:00:00

  • Orthopaedic complications in sickle cell disease. A comparative study from two regions in Saudi Arabia.

    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

    authors: Sadat-Ali M,Geeranavar SS,As-Suhaimi S

    更新日期:1992-01-01 00:00:00

  • The incidence of vertebral body metastases.

    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

    authors: Ortiz Gómez JA

    更新日期:1995-01-01 00:00:00

  • Congenital absence of the radius.

    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

    authors: Fernandez-Palazzi F,Bendahan J,Rivas S

    更新日期:1993-01-01 00:00:00

  • Cartilage labelling for mechanical testing in T-peel configuration.

    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

    authors: Pfeifer C,Müller M,Prantl L,Berner A,Dendorfer S,Englert C

    更新日期:2012-07-01 00:00:00