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 of plica resection. METHODS:The purpose of this prospective study was to evaluate the long-term results of arthroscopic resection of the medial plicae of the knee. Between 1999 and 2014 we included 267 patients that showed MRI evidence of MP out of the 5682 knee arthroscopies that we performed. We recorded pre and post-operative Tegner Lysholm knee scale scores (TLKSS) for up to 36 (3, 6, 12, 24, 36) months. The EQ-5D questionnaire was used to measure the patients' generic health status. RESULTS:The mean values of the TLKSS were 68 (61-82) pre-operative, 87 (81-94) at the 3-month follow-up and 94 (92-97) at the 6-month follow-up. The long term results (TLKSS at 12, 24, and 36 months post-operatively) were 94.8 (91-98), 94.8 (90-97), and 94.5 (92-97) respectively. The EQ-5D and EQ-VAS showed significant improvement between each of the first three data registering moments (pre-operative, 3 and 6 month follow-up). CONCLUSION:The quality of the treatment and the final functional result is directly influenced by the type of plica that creates the symptomatology. We have achieved good overall results for our patients, the ones with less cartilage damage having the fastest recovery time. The arthroscopic resection is a very good option for medial plicae that do not respond to conservative treatment, and it must be initiated as a first option when cartilage damage is suspected.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Prejbeanu R,Poenaru DV,Balanescu AD,Mioc MLdoi
10.1007/s00264-016-3313-1subject
Has Abstractpub_date
2017-01-01 00:00:00pages
121-125issue
1eissn
0341-2695issn
1432-5195pii
10.1007/s00264-016-3313-1journal_volume
41pub_type
杂志文章abstract::We describe fives cases of an unusual type of injury to the wrist which has been seen in Sikhs, an ethnic population in India. It is caused by entrapment of the kara, an iron bangle, which is traditionally worn as one of five compulsory religious symbols. The injuries were an open transtriquetral palmar perilunar disl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00210533
更新日期:1991-01-01 00:00:00
abstract:INTRODUCTION:There is no evidence that anatomically correct anterior cruciate ligament reconstruction (ACLR) offers lower rate of degenerative changes development or that it would lead to a better outcome. The significance and understanding of the abnormal anterior tibial translation (ATT) in ACLR patients is yet to be...
journal_title:International orthopaedics
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更新日期:2017-04-01 00:00:00
abstract:PURPOSE:Dislocations of components, loosening of the stem, overstuffing and removal in up to 24 % of common radial head prostheses (RHP) after implantation in complex elbow injuries signal the need for improvement. The latest biomechanical evidence shows advantages for monopolar designs. Clinical results after primary ...
journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2803-x
更新日期:2016-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2826-3
更新日期:2016-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00264-015-2691-0
更新日期:2015-07-01 00:00:00
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
doi:10.1007/s00264-007-0389-7
更新日期:2008-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2021-01-30 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1996-01-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2014-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1505-x
更新日期:2012-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-015-2726-6
更新日期:2015-07-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2014-10-01 00:00:00
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更新日期:2014-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
doi:10.1007/s00264-015-2816-5
更新日期:2015-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1985-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180213
更新日期:1992-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-04-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2018-07-01 00:00:00
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更新日期:2001-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00195220
更新日期:1993-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180230
更新日期:1994-10-01 00:00:00
abstract::In order to clarify the association between mycotoxin-producing fungi in food and Kashin-Beck disease (KBD), we examined the occurrence and contamination levels of fungi in samples of barley grain, from KBD-affected families and from unaffected families in endemic areas. A control area without the occurrence of KBD se...
journal_title:International orthopaedics
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pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
abstract::A key to the analysis of function after total hip replacement (THR) is the ability to identify gait adaptations specific to design features and surgical procedures. In a randomised controlled design, we evaluated the mechanics of gait after THR with a hip resurfacing system or conventional prosthesis. We also investig...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2011-05-01 00:00:00