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 established. METHODS:Sixty subjects (40 patients at 5.9 years after ACLR, 20 healthy controls) underwent 3 T MRI. Quantitative cartilage T2 mapping and morphological whole organ magnetic resonance imaging score (WORMS) evaluation was performed. Self-reported questionnaires were used for subjective clinical evaluation. Correlations were calculated with the following MRI measurements; femoral tunnel inclination, ACL graft inclination, lateral and medial compartment ATT. RESULTS:In the ACLR group positive correlation was found between the patellar cartilage T2 values and sagittal ACL graft inclination. In the ACLR group lateral compartment ATT showed negative correlation with ACL graft inclination and subjective clinical evaluation, and positive correlation with morphological degenerative changes. Femoral tunnel showed positive correlation with ACL graft inclination in the same plane. CONCLUSIONS:Increased ATT offers worse clinical outcome and increased rate of degenerative changes. Furthermore, ATT is affected by the ACL inclination. Inclination of the drilling tunnel affects ACL graft inclination; thereby independent drilling techniques provide superior results of anatomical ACL graft positioning.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Snoj Ž,Zupanc O,Stražar K,Salapura Vdoi
10.1007/s00264-016-3386-xsubject
Has Abstractpub_date
2017-04-01 00:00:00pages
789-796issue
4eissn
0341-2695issn
1432-5195pii
10.1007/s00264-016-3386-xjournal_volume
41pub_type
杂志文章abstract:PURPOSE:Tibial fractures are the most common lower limb fractures. Some criteria such as open fractures and increasing open stage are known to be associated with high delayed union and pseudarthrosis rate. In cases of delayed or nonunion, classical treatment is autologous cancelous bone graft which is associated with h...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2342-x
更新日期:2014-09-01 00:00:00
abstract::A full thickness defect was made in the central portion of the patellar tendon of 48 New Zealand white rabbits. Platelet-rich plasma (PRP) gel was then applied and filled the tendon defect. The same procedure was performed in the control group, without the application of PRP. Animals were sacrificed after one, two, th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0728-y
更新日期:2010-02-01 00:00:00
abstract:PURPOSE:To assess whether reaction time (RT) and movement time (MT), as the two components of the total brake response time (TBRT) and brake force (BF) are different in patients with a foot joint arthrodesis in comparison to controls. METHODS:The study was a comparative case series in a driving simulator under realist...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2789-4
更新日期:2015-07-01 00:00:00
abstract::Lower lumbar spinal fusion was carried out in 72 patients by a technique which involved screw fixation of the facet joints. Stability was achieved and mobilisation was allowed immediately. Radiographs after operation showed bony fusion in 94.5%. Pain was diminished and 76% of the patients would undergo the same treatm...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182698
更新日期:1992-01-01 00:00:00
abstract::We report three cases of para-articular chondroma and osteochondroma in the region of infrapatellar fat pad. All three lesions were resected and examined histologically. Two of them were primarily cartilaginous with a lobular pattern internally, and one uniformly osseous with peripheral cartilage. We conclude that the...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050322
更新日期:1999-01-01 00:00:00
abstract::A retrospective study evaluating complications in 2,233 consecutive patients of subaxial cervical disorders treated with an anterior cervical locking plate was performed, and recommendations for prevention and treatment were made. The average length of follow-up was 1.3 years. Any loosening or breaking of the plates a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0369-y
更新日期:2008-10-01 00:00:00
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::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:BACKGROUND:Cementless femoral stems are currently used in revision total hip arthroplasty (THA) with the surgeon choosing between various fixation modes. The outcomes are good in the medium term; however, some failures have been attributed to technical errors during implantation. When the decision has been made to use ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4265-4
更新日期:2019-10-01 00:00:00
abstract::We have reviewed the clinical features, together with the radiographs and computerised tomography, in 9 patients with tuberculosis of the vertebral body and neural arch. All presented with paraparesis or paraplegia. The morbidity associated with this disease is so serious that it is essential to have an accurate means...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00179971
更新日期:1995-01-01 00:00:00
abstract::We carried out experiments in rabbits to determine whether treating nerve transplants with gradually increasing concentrations of ethanol, ether and ficin would inhibit the graft-host immune reaction to the allograft. After treatment with ethanol, the basal laminar scaffold of the Schwann cell remained intact and ther...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183371
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:Osteoporosis mainly involves cancellous bone, and the spine and hip, with their relatively high cancellous bone to cortical bone ratio, are severely affected. Studies of bone mesenchymal stem cells (BMSCs) from osteoporotic patients and animal models have revealed that osteoporosis is often associated with redu...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1543-4
更新日期:2012-10-01 00:00:00
abstract::The objective was to assess whether time to diagnosis is influenced by patient/tumour-related factors and whether or not duration of symptoms has any impact on survival in soft tissue sarcoma. The study was an analysis of prospectively collected data for patients treated at our centre over a 20-year period. Risk facto...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0319-8
更新日期:2008-06-01 00:00:00
abstract:INTRODUCTION:Medial valgus-producing tibial osteotomy (MVTO) is classically used to treat early medial femorotibial osteoarthritis. Long-term results depend on the mechanical femorotibial angle (HKA) obtained at the end of the procedure. A correction goal between 3 and 6° valgus is commonly accepted. Several planning m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04777-6
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:The study compared the impact of the Kirschner wires versus Herbert screw fixation on the rate of union, time to union, correction of deformity, and clinical outcome in adults with unstable scaphoid waist fracture nonunions without avascular necrosis. METHODS:We prospectively randomized 122 patients to undergo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04730-7
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:To evaluate the regenerative potential of surnatants (SNs) from bone marrow concentrate (SN-BMC) and expanded mesenchymal stromal cells (SN-MSCs) loaded onto a collagen scaffold (SC) in comparison with cell-based treatments (BMC and MSCs) in an osteochondral (OC) defect model in rabbits. METHODS:OC defects (3 ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4202-6
更新日期:2019-01-01 00:00:00
abstract::The purpose of the study was to determine whether isolated revision of the acetabular component can be successfully performed without disturbing the femoral stem and to determine the fate of the unrevised femoral stem following revision. Fifty-seven hips in 55 patients underwent isolated acetabular revision without re...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0674-2
更新日期:2005-10-01 00:00:00
abstract::Two techniques are presented for atraumatic handling of tendon ends during repair of flexor and extensor tendons. If the tendon is cleanly transected, the suture is carried out by holding the tendon in nerve holding forceps. If debridement is needed, a slice is partly cut and used to handle the tendon; the slice is th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050080
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:Surgical treatment of an acute Achilles tendon rupture can effectively reduce the risk of re-rupture, but it increases the probability of surgical complications. We postulated that a minimally invasive surgical treatment might reduce the number of complications related to open surgery and improve the functional...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-012-1737-9
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Intercondylar humerus fractures (AO type 13C), though less common (less than 1%), are increasing over the last few years. Open reduction and internal fixation (ORIF) of these fractures are now well recognised and preferred management. These fractures are principally approached from posterior side and various...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04785-6
更新日期:2020-12-01 00:00:00
abstract::A clinical and radiological follow-up investigation with at least 20 years observation time was made of 255 persons with lumbar spondylolysis with or without spondylolisthesis. The main purposes were to study the relationship between clinical and radiological features and to look for radiological and other variables o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00269912
更新日期:1984-01-01 00:00:00
abstract::We have treated 350 displaced Colles fractures by percutaneous fixation with K wires arranged in a 'basket' formation, as described by Kapandji. This technique enables satisfactory stabilisation of the fragments and early mobilisation and rehabilitation, usually without the use of a plaster cast or brace. We describe ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266982
更新日期:1988-01-01 00:00:00
abstract::Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2968-3
更新日期:2015-10-01 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::In vitro and in vivo studies have demonstrated the possibility that cancellous bone could be used as a carrier of antibiotics for local delivery. However, the release of antibiotics from the loaded cancellous bone is too rapid and uncertain. We hypothesised that demineralisation of cancellous bone would increase the a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0384-y
更新日期:2003-01-01 00:00:00
abstract::A woman aged 31 had an ameloblastoma of the inferior part of the maxilla treated by excision and a bone graft from the iliac crest. Nine years later she presented with a metastasis from the tumour at the donor site. Metastases from an ameloblastoma are rarely encountered. In this case there might have been contaminati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180180
更新日期:1994-02-01 00:00:00
abstract::Incorporation of massive cortical bone allografts in the human is slow and remains incomplete. Late biopsies of implanted allografts or histological studies of explanted allografts always show the partial substitution of necrotic bone by new bone from the host. The aim of the present study was to evaluate the value of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183550
更新日期:1993-01-01 00:00:00
abstract::Twenty-eight arthrodeses of the wrist were carried out for various indications using an ulnar graft. The results were evaluated and it was found that the obliquely resected lower end of the ulna gave a longer graft for better fusion between the distal end of radius and the base of the 3rd metacarpal. There was no inst...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180131
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:ADVANCE Medial Pivot (MP) (Wright Medical) total knee arthroplasty (TKA) was established to replicate normal tibio-femoral knee joint kinematics, however, its influence on the patello-femoral (PF) joint is unclear. The purpose in this study was to assess the PF joint conditions in Advance MP TKA, via radiograph...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2043-x
更新日期:2014-03-01 00:00:00
abstract:PURPOSE:The rotator cuff concept refers to the four scapulohumeral muscles that stabilize and rotate the humerus relative to the scapula. To date, the first description of the rotator cuff remained unidentified. METHOD:In light of the 500th birthday of Andreas Vesalius (1515-1564) we searched his 1543 masterwork "Fabr...
journal_title:International orthopaedics
pub_type: 古典文章,历史文章,杂志文章
doi:10.1007/s00264-015-2823-6
更新日期:2015-12-01 00:00:00