Abstract:
OBJECTIVE:Reconstruction of the medial patellofemoral ligament with autologous tendon augmentation and soft tissue fixation at the patellar insertion with resorbable suture material. INDICATIONS:Patellofemoral instability due to insufficiency of the medial passive stabilizers and dysplastic trochlea. CONTRAINDICATIONS:Primary traumatic dislocation of the patella without risk factors for patellar redislocation, severe osteoarthritis of the patellofemoral joint, infection. SURGICAL TECHNIQUE:Diagnostic arthroscopy to evaluate cartilage and shape of trochlea and to treat associated injuries. Harvesting of the gracilis tendon and arming with resorbable suture material. Transfer of the tendon through the medial capsule in the anatomical layer of the MPFL and weaving in u-shape through the capsule and periosteum near the patella. Soft tissue fixation with resorbable suture material. Anatomical reconstruction of the femoral insertion site. Femoral fixation with interference screw. POSTOPERATIVE TREATMENT:For 4 weeks, partial (20 kg) weight bearing with crutches; cast with physiotherapy (limited ROM extension, flexion 0-0-90°). Thereafter free range of motion and full weight bearing. RESULTS:27 patients (age 12-45 years) with patellofemoral instability underwent reconstruction of the medial patellofemoral ligament. Clinical follow-up was assessed up to 12 months postoperatively. After 1 year, the Kujala and Flandry scores increased from preoperatively 72 points to 95 points and 65.7 points to 89.9 points, respectively. One redislocation was observed. Patient satisfaction was significantly increased at 6 months postoperatively. Reconstruction of the medial patellofemoral ligament shows good clinical results after 12 months.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Reppenhagen S,Gilbert F,Konrads C,Göbel S,Steinert A,Hoberg M,Löffler C,Rudert M,Barthel Tdoi
10.1007/s00064-015-0428-2subject
Has Abstractpub_date
2015-12-01 00:00:00pages
484-94issue
6eissn
0934-6694issn
1439-0981pii
10.1007/s00064-015-0428-2journal_volume
27pub_type
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abstract:OBJECTIVE:Knee flexion is increased by detachment of contracted quadriceps muscle from the pelvis and femur in combination with arthrolysis of the knee. INDICATIONS:Flexion contracture of the knee caused by extraarticular changes of quadriceps muscle (fibrosis, soft-tissue damage, infection, fracture). Failed intraart...
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pub_type: 临床试验,杂志文章
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更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:Reconstruction of segmental bone defects of the proximal femur following wide tumor resection or revision arthroplasty. INDICATIONS:Aggressive benign or primary malignant bone tumors of the proximal femur; destructive metastases; massive segmental bone defects of the proximal femur; periprosthetic fractures....
journal_title:Operative Orthopadie und Traumatologie
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doi:10.1007/s00064-011-0061-7
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更新日期:2014-02-01 00:00:00
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更新日期:2013-06-01 00:00:00
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更新日期:2014-06-01 00:00:00
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更新日期:2014-12-01 00:00:00
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更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:For chronic lateral ankle instability an anatomical repair procedure of the lateral collateral ligaments (LCL) of the ankle with augmentation by an inferior extensor retinaculum (IER) flap is proposed. INDICATIONS:To treat the mechanical parts of an instable ankle involving both LCL and subtalar joint ligame...
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pub_type: 临床试验,杂志文章
doi:10.1007/s00064-012-0189-0
更新日期:2013-04-01 00:00:00
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doi:10.1007/s00064-005-1132-4
更新日期:2005-09-01 00:00:00
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更新日期:2010-11-01 00:00:00
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doi:10.1007/s00064-007-1019-2
更新日期:2007-12-01 00:00:00
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更新日期:2008-03-01 00:00:00
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更新日期:2013-08-01 00:00:00
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更新日期:2013-10-01 00:00:00
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更新日期:2020-04-01 00:00:00
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更新日期:2012-09-01 00:00:00
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更新日期:2017-04-01 00:00:00
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更新日期:2008-12-01 00:00:00
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更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:Serious lower extremity injuries sometimes warrant emergency amputation. The goal of amputation in polytrauma patients is to increase chances of survival, while the goal of amputation in a single limb injury is to prevent further complications, e.g., infection, septic shock. INDICATIONS:Rescue from life-thre...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
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更新日期:2011-10-01 00:00:00