[Augmented anterior cruciate ligament replacement with the Kennedy-LAD (ligament augmentation device)--long term outcome].

Abstract:

:The ligament augmentation device (Kennedy-LAD) is used to protect tendon grafts during the posttransplantation decrease in strength in anterior cruciate ligament (acl) reconstructions. The augmentation with the LAD is based on the concept of load sharing. Since 1983 we used the LAD in acl-reconstructions in 856 patients. In 63 cases we had to treat complications like infection (8), recurrent effusions (21), arthrofibrosis (34). The overall results are good with respect to stability, regain of strength and sports activity. In 73 cases resurgery was necessary because of synovitis (7), LAD-rupture due to re-injury (9), fatigue-rupture of the LAD (22), meniscal tears (35), 2.7 +/- 2.3 years (range: 2 months to 10 years) after LAD implantation. Modern techniques in acl reconstruction lead to comparable results without synthetic augmentation. Therefore, we now recommend the use of a LAD only in cases of repeated acl replacement with week tendon grafts, to avoid an allograft.

journal_name

Zentralbl Chir

authors

Riel KA

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

1014-8

issue

9

eissn

0044-409X

issn

1438-9592

journal_volume

123

pub_type

杂志文章
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    authors: Splett J

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    doi:

    authors: Heinrich P,Neumann A

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  • [Quality of life after foot injuries].

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    pub_type: 杂志文章

    doi:

    authors: Belgerden S,Emre A,Erer M,Türel O

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  • [Clinical application of growth factors and cytokines in wound healing].

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    doi:

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    doi:

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    doi:

    authors: Gerlach J,Encke J,Müller C,Neuhaus P

    更新日期:1994-01-01 00:00:00

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    doi:

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    doi:

    authors: Gastinger I,Koch A,Lippert H,Lorenz D

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  • [Surgical palliation for pancreatic cancer. The 25-year experience of a single reference centre].

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    doi:

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    abstract::The case history of a 75 year old man is demonstrated, who developed an abscess in the scar after B-II-resection 30 years ago. In this abscess S. typhi murium was detected. Diabetes mellitus was an additional risk factor. A review of the literature is given concerning extraintestinal manifestations of salmonellosis wi...

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    doi:

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    pub_type: 杂志文章

    doi:

    authors: Vara-Thorbeck R,Morales OI,Guerrero JA,Ruiz-Morales M,Salvi M,Vara C

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  • [Validity of Recommendations for Secondary Prevention of Colon Cancer].

    abstract:BACKGROUND:Prevention programmes should only be recommended if they achieve what they promise to achieve. Therefore, we checked the variation and validity of recommendations for screening for colorectal cancer of nine organisations. METHODS:We analysed the information concerning recommended screening age, guaiac faeca...

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  • [Pain therapy in tumor patients and in palliative medicine. 1: Drug therapy].

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    pub_type: 杂志文章,评审

    doi:

    authors: Ensink FB,Bautz MT,Hirn AM,Nass S,Kettler D,Hanekop GG

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    doi:

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    doi:

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  • [Disordered postoperative course. A retrospective analysis].

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    pub_type: 杂志文章

    doi:

    authors: Günther K,Taubert E,Mehwald J

    更新日期:1988-01-01 00:00:00

  • [Use of highly evacuated Redon drainage following gynecologic operations].

    abstract::A highly evacuated wound drainage system according to Redon (980 mbar) was applied to 100 women who had undergone laparotomy. No change of bottles was necessary up to removal of the system in 96 cases. Bacteriological tests were applied to various points of the Redon system and revealed only minimum colonisation with ...

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    pub_type: 杂志文章

    doi:

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    更新日期:1987-01-01 00:00:00

  • [Hartmann's procedure for perforated diverticulitis and malignant left-sided colorectal obstruction and perforation].

    abstract:BACKGROUND:This review comments on the question whether laparoscopic techniques and interventional strategies have in the last ten years changed the emergency management of perforated diverticulitis and malignant colorectal obstruction or perforation with regard to the broad spectrum of indications for Hartmann's proce...

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    abstract:UNLABELLED:The aim of this study was to analyse the causes of death after liver transplantation in order to find and to avoid preventable fatal complications if possible. METHODS:Between September 1988 and September 1993 415 orthotopic liver transplantations in 382 patients were performed at the Rudolf Virchow Univers...

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    doi:

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