Abstract:
PURPOSE:The purpose of this study was to show that this two-stage procedure for ACL (anterior cruciate ligament) revision surgery could be straight-forward and provide satisfactory clinical and functional outcomes. MATERIALS:This is a five-year prospective analysis of clinical and functional data on 30 patients (19 men and 11 women; average age 29.1 ± 5.4) who underwent a two-stage ACL revision procedure after traumatic re-rupture of the ACL. Diagnosis was on Lachman and pivot-shift tests, arthrometer 30-lb KT-1000 side-to-side findings, and on MRI and arthroscopic assessments. RESULTS:Postoperative IKDC and Lysholm scores were significantly improved compared to baseline values (P < 0.001). At the last follow up, 20 of 30 patients (66.7%) had returned to preoperative sport activity level (nine elite athletes, 11 county level), seven had changed to lower sport levels, and three had given up any sport activity. At the same appointment, 11 patients had degenerative changes. All these patients reported significantly lower Lysholm scores compared to patients without any degenerative change (p < 0.001). CONCLUSIONS:In ACL revision surgery, when the first femoral tunnel has been correctly placed, this procedure allows safe filling of large bony defects, with no donor site comorbidities. It provides comfortable clinical, functional and imaging outcomes.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Franceschi F,Papalia R,Del Buono A,Zampogna B,Diaz Balzani L,Maffulli N,Denaro Vdoi
10.1007/s00264-013-1886-5subject
Has Abstractpub_date
2013-07-01 00:00:00pages
1369-74issue
7eissn
0341-2695issn
1432-5195journal_volume
37pub_type
杂志文章abstract::A series of 49 pilon fractures in a tertiary referral centre treated definitively by open reduction and internal fixation have been assessed and the complications of such injuries examined. A retrospective analysis of case notes, radiographs and computerised tomographs over a seven-year period from 1999-2006 was perfo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1005-9
更新日期:2011-03-01 00:00:00
abstract::In this study, 22 women patients with adult idiopathic scoliosis treated surgically with Cotrel-Dubousset instrumentation (CDI) or Texas Scottish Rite Hospital instrumentation (TSRHI) were followed up for 56.2+/-4.0 months. The overall immediate and final corrections were respectively 21.5+/-40 (58%) and 26.6+/-2.90 (...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0346-4
更新日期:2002-01-01 00:00:00
abstract::We have developed a method to promote longitudinal bone growth at the level of a specific growth-plate (GP) in young rabbits. Insulin-like growth factor-I (IGF-I) was continuously infused by means of an osmotic pump into the bone marrow cavity of the proximal epiphysis of the tibia. Radiological measurement showed a 2...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0336-7
更新日期:2008-06-01 00:00:00
abstract:PURPOSE:The medial plica (MP) is a normal anatomic structure consisting of a fold in the synovial layer of the joint. Arthroscopic resection is currently used as a gold standard procedure in patients with medial plica syndrome (MPS), but there are few prospective studies that analyze the long-term functional outcomes o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3313-1
更新日期:2017-01-01 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:PURPOSE:Anatomically correct graft positioning at the femoral insertion site is a key factor in surgical reconstruction of the medial patello-femoral ligament (MPFL). Basically there are two techniques to define this point in fluoroscopy during surgery. The role of the anatomical femoral torsion on the accuracy and rep...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2523-7
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:To compare the results of two groups of patients affected by osteochondritis dissecans (OCD) of the knee and treated with either osteochondral autologous transplantation (OAT) or bone-cartilage paste grafting (PG). METHODS:A total of 27 patients affected by OCD lesions of the femoral condyles were included: 15...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04804-6
更新日期:2021-02-01 00:00:00
abstract:PURPOSE:Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the se...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1672-9
更新日期:2013-02-01 00:00:00
abstract:PURPOSE:Degenerative cervical spondylolisthesis has received insufficient attention, in contrast to degenerative lumbar spondylolisthesis. In fact, degenerative cervical spondylolisthesis may be more common than previously thought. METHODS:In order to provide appropriate guidelines for the treatment of degenerative ce...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-010-1203-5
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:There remains controversy as to whether computer-navigated total knee replacement (TKR) improves the overall prosthesis alignment and patient function. The aim of this study was to determine whether computer-assisted total knee arthroplasty provides superior prosthesis positioning when compared to a conventiona...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-013-1996-0
更新日期:2014-02-01 00:00:00
abstract::A patient is reported who had multiple cartilaginous exostoses with malignant transformation of a pelvic osteochondroma. ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s002640050136
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine if a new titanium cup with increased porosity resulted in different periacetabular bone loss and migration compared to a porous coated cup. METHODS:Fifty-one patients with primary hip osteoarthritis were randomized to either a cup with porous titanium construct backsi...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-014-2571-z
更新日期:2015-05-01 00:00:00
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
doi:10.1007/s00264-005-0652-8
更新日期:2005-08-01 00:00:00
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
doi:10.1007/BF00267036
更新日期:1985-01-01 00:00:00
abstract::This paper reports the long term results of 3 patients with lumbosacral spondyloptosis who were treated by closed reduction, followed by 6 to 12 weeks plaster cast immobilisation, posterior fusion and finally anterior fusion after a further 3 to 6 months. The follow up was from 7.5 to 10.5 years. Spondyloptosis was di...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180118
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to analyse the clinical outcome of a modified Sever-L'Episcopo technique for release of contracted muscles and tendon transfer to restore function of the shoulder joint in patients with Erb's palsy. METHODS:A case series was conducted from March 1988 to November 2009 for 19 patients. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2592-7
更新日期:2015-02-01 00:00:00
abstract::In Japan, the main reason for osteoarthritis of the hip joint is caused by dysplastic deformities. The implantation technique of cementless press-fit cup with multi-screw fixation and acetabular bone graft to reconstruct the true acetabular center is described. In addition, special design aspects of the BiCONTACT-N st...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::In 16 patients with ulnar wrist pain, we performed primary arthroscopic or open repair of the peripheral rim tears of the triangular fibrocartilage complex (TFCC) (14 ulnar, 4 volar, and 3 radial tears). The wrist function was assessed before and 1 year after the repair using the Mayo-modified wrist score. The average...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100285
更新日期:2001-01-01 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::The purpose of the study was to analyse the clinical results of an open Bankart repair for anterior instability in patients with a glenoid defect and those without a glenoid defect, and to identify factors related to the glenoid defect associated with anterior instability. The prospective study involved 20 patients wi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0234-4
更新日期:2007-10-01 00:00:00
abstract::Five hundred and fifteen children with single segment non-physeal extremity fractures were retrospectively reviewed. The male to female ratio was 2.7:1. The average age of study group was 9.9+/-4.7 years; 273 fractures (53%) were on the left, 242 (47%) were on the right. A fall was the main cause of the injury in most...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050388
更新日期:1999-01-01 00:00:00
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
doi:10.1007/s00264-019-04472-1
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:Traditionally, valgus knee deformity is predominately corrected by stabilisation with a plate inserted via the medial approach to the supracondylar region of the femur. However, this technique is unfavourable from both a biomechanical and a biological point of view. A revised retrograde dynamic locked nailing w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1495-8
更新日期:2012-06-01 00:00:00
abstract::Diagnosis of avascular necrosis (AVN) of the femoral head depends on the combination of clinical symptoms and evaluation of radiographs and/or magnetic resonance imaging (MRI). To evaluate the evolution of AVN, the Ficat and the Association Research Circulation Osseous (ARCO) classification are commonly used to assess...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0320-2
更新日期:2008-06-01 00:00:00
abstract::We have successfully treated a middle aged woman with long-standing posterior dislocations of the knee, using two stage external fixation and arthrodesis. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050259
更新日期:1998-01-01 00:00:00
abstract::Developmental dysplasia of the hip (DDH) is a spectrum of disorders that results in anatomic abnormalities leading to increased contact stress in the joint and, eventually, secondary osteoarthritis. However, many patients with DDH become symptomatic before the severe degenerative changes of the hip because of abnormal...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2927-z
更新日期:2016-05-01 00:00:00
abstract::The aim of this non-randomised prospective study was to evaluate the short-term outcome of Gamma nail and dynamic hip screw (DHS) fixation in the treatment of subtrochanteric hip fractures due to low-energy trauma in the elderly. All of the 1,624 femoral hip fractures in 1,511 patients of the Oulu Hospital, aged over ...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-006-0088-9
更新日期:2007-02-01 00:00:00
abstract:PURPOSE:A full range of motion after total knee arthroplasty has become more and more requested by our patients, leading to novel designs of knee implants, the so-called "hyperflex" knees. The aim of the present study was to confirm whether or not hyperflexion of operated knees really improves the patients' quality of ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2372-4
更新日期:2014-10-01 00:00:00
abstract::The authors report seven cases of desmoid tumors of the extremities. A tumour less than a few centimetres in size is best removed by wide local excision. Large growths should also be excised, but efforts should be made to preserve the vessels and nerves, since malignant transformation and metastases do not occur. Irra...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00547171
更新日期:1988-01-01 00:00:00
abstract:PURPOSE:Diabetes mellitus is associated with an increased risk of intervertebral disc degeneration (IDD). Reactive oxygen species (ROS), oxidative stressors, play a key role in autophagy of diabetes-associated diseases. Mitochondria are known to be the main source of endogenous ROS in most mammalian cell types. The aut...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2037-8
更新日期:2013-12-01 00:00:00