Abstract:
OBJECTIVE:Medial collateral ligament reconstruction in chronic unstable knees. INDICATIONS:Chronic instability of the medial collateral ligament (MCL) isolated or in combination with multiligament injuries. CONTRAINDICATIONS:Refixable bony avulsions, limited range of motion, arthrofibrosis, severe valgus deformity, infections, critical soft tissue, lack of patient compliance and open growth plates. SURGICAL TECHNIQUE:Harvesting of the contralateral semitendinosus tendon and preparation. Supine position with leg in electric leg holder. Oblique skin incision above the pes anserinus parallel to the tendons. Placement of drill hole distal to the tibial insertion of the hamstrings in the footprint of the MCL. Tapering and fixation of the transplant. Subfascial tunneling and femoral fixation of the transplant distally to the medial patellofemoral ligament (MPFL) origin in 30° flexion under fluoroscopic control. Tibial fixation of the dorsal portion of the transplant (POL) ventral to the semimembranosus tendon footprint in full extension. POSTOPERATIVE MANAGEMENT:Limited weight bearing with 20 kg for 4-6 weeks, stabilizing brace with limited range of motion 0/0/90°. RESULTS:A total of 9 patients with a median age of 39 (18-70) years received an augmentation of the MCL complex due to a chronic instability using the described technique. Follow-up examination was performed after 16 (11-56) months. All patients reported a stable knee. The median value of the Lysholm score at follow-up was 90 (72-96) points and the Tegner score prior to trauma was 4 (2-6) points and 3 (2-6) points during follow-up. No grade 2 or 3 instability could be observed during follow-up. There were no complications using the above mentioned technique.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Preiss A,Giannakos A,Frosch KHdoi
10.1007/s00064-012-0164-9subject
Has Abstractpub_date
2012-09-01 00:00:00pages
335-47issue
4-5eissn
0934-6694issn
1439-0981journal_volume
24pub_type
杂志文章abstract:OBJECTIVE:Callus distraction of the femur or tibia with an intramedullary distractor, which lengthens mechanically through alternating rotations of at least 3 degrees. INDICATIONS:Femoral or tibial shortening between 20 and 80 mm. Angular and rotational deformities can be corrected at the osteotomy site. CONTRAINDICA...
journal_title:Operative Orthopadie und Traumatologie
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更新日期:2018-02-01 00:00:00
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更新日期:2020-06-01 00:00:00
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更新日期:2017-04-01 00:00:00
abstract::Erratum to: Oper Orthop Traumatol 2017 https://doi.org/10.1007/s00064-017-0513-9 The article was wrongly published under the article type "Review". Please note that the article is an "Original Paper".The publisher apologizes to the authors and …. ...
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pub_type: 已发布勘误
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更新日期:2010-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-12-01 00:00:00
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更新日期:2020-08-01 00:00:00
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更新日期:2010-10-01 00:00:00
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更新日期:2019-01-01 00:00:00