[The effect of arthroscopic joint debridement in advanced arthrosis of the knee joint].

Abstract:

:A retrospective study was performed examining 84 patients who had undergone arthroscopic debridement for high-grade osteoarthritis of the knee joint. After an average follow-up period of 52 (35-72) months only 14 (16.7%) patients indicated an improvement of the preoperative situation. 36 (42.8%) patients had severe joint pain after one year postoperatively. 17 (24.3%) patients were evaluated with 85-100 points and 53 (75.7%) patients with less than 85 points in a modified Lysholm-score. There were better results in younger patients (< 50 years). Compared with the literature, aggressive subchondral abrasion does not show any benefits. Patients' preoperative expectations have to be clearly objectified. With this prerequisite the surgical procedure as an operation with low complication risk can also be justified as a temporary alternative to total knee arthroplasty in patients suffering from a high-grade degeneration of the knee joint.

journal_name

Zentralbl Chir

authors

Krüger T,Wohlrab D,Reichel H,Hein W

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

490-3

issue

6

eissn

0044-409X

issn

1438-9592

journal_volume

125

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:

    authors: Reding R,Kalkowski H,Huth JH,Benad G,Lange G,Pingel E,Noel D,Urbaszek W,Scharf G,Behrends D

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  • [Current surgical management of reflux disease].

    abstract::This disease has not been fully clarified yet. In our opinion, surgery should only be performed in cases of stage IV because of ulcers, irreversible scar formation, metaplasia of the epithelium, endobrachyoesophagus, stenoses or malignant degeneration. 11 patients suffering from severe reflux oesophagitis (stage IV) u...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Reding R,Pflücke F,Czarnetzki HD

    更新日期:1983-01-01 00:00:00

  • [What is the value of neoadjuvant therapy in bronchial carcinoma?].

    abstract::Neoadjuvant chemotherapy is obligatory for small-cell lung cancer. When combined with radio-therapy, it reduces the incidence of recurrence and increases the survival rate to a level similar to that seen in non-small-cell lung cancer. Preliminary results suggest that complete remissions (3-year-survival rate 56%) can ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Digel W,Brethner L,Hasse J

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  • ["Tension band"-osteosynthesis (author's transl)].

    abstract::This report deals with the early results of the tension-band-osteosynthesis in 365 patients. With this simple method functional stability can be achieved even in fractures where the implanation of plates, screws and so on is impossible (near a joint, fractures of hand and foot, some fractures in children). ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ansorge D

    更新日期:1978-01-01 00:00:00

  • [Controlled study of cremaster resection in Shouldice repair of primary inguinal hernia].

    abstract::237 Shouldice operations with resection of the cremaster muscle from the Department of Surgery of the RWT University of Aachen were compared with 153 Shouldice repairs without resection of the cremaster muscle from the Department of Surgery of the Elizabeth Hospital in Essen. The aim of this prospective controlled tri...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Töns C,Klinge U,Kupczyk-Joeris D,Rötzscher VM,Schumpelick V

    更新日期:1991-01-01 00:00:00

  • [Change in the treatment method of infected pseudarthrosis with bone loss of the tibia].

    abstract:AIM OF INVESTIGATION:The treatment of nonunions complicated by infection and bone loss is divided into two stages. Having calmed down the infection by stabilizing, removal of infected and necrotic tissue and local antibacterial measures, the bone loss has to be filled up. Bridging the gap by means of autogenous cancell...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schultz JH,Schmidt HG,Jürgens C,Kortmann HR

    更新日期:1994-01-01 00:00:00

  • [Surgical therapy of acute pancreatitis].

    abstract::Treatment was applied to 181 patients for acute pancreatitis at the Surgical Department of Friedrichshain Local Hospital, between December 1, 1985 and October 30, 1987. Ninety-two of these patients were in Stage I according to Kümmerle-Hollender, 62 in Stage II, and 27 in Stage III. Operations were performed on 57 pat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Pahlig H,Göbel U

    更新日期:1988-01-01 00:00:00

  • [Results of the surgical management of frontobasal injuries].

    abstract::The author reports about 183 patients with frontobasal injuries. 50 per cent of them were operated immediately because open injuries or intracranial complications. The other half was operated in an interval of 5 to 10 days after injury. The localisation of the frontobasal lesion, clinical results according to the Glas...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Klötzer R,Meier U,Knopf W

    更新日期:1991-01-01 00:00:00

  • [Complete Mesocolic Excision for Right-Sided Colon Cancer - The Role of Central Lymph Nodes].

    abstract:BACKGROUND:Complete mesocolic excision (CME) and central vascular ligation (CVL) for right-sided colon cancer may be superior to standard hemicolectomy in terms of oncological results. This hypothesis is currently being investigated in a large multicentre trial conducted by the authors of this paper (Resektatstudie). B...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0034-1383133

    authors: Benz SR,Tannapfel A,Tam Y,Stricker I

    更新日期:2015-08-01 00:00:00

  • [Intensive care medicine -- update 2004].

    abstract::This manuscript gives a review about important studies addressing problems in intensive care medicine that have been published in journals focussing on critical care medicine and surgery in 2004. Only clinical studies are included in this review, mostly metaanalyses, randomized controlled trials and a few important or...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-836561

    authors: Flohé S,Lendemans S,Schmitz D,Waydhas C

    更新日期:2005-06-01 00:00:00

  • [Risk of malignant degeneration of preoperatively-classified benign large sessile rectal polyps. A comparison with adenoma size].

    abstract::From January 1986 to December 1995 307 patients with preoperatively as benign classified rectal polyps underwent transanal endoscopic microsurgery or transanal excision at the Hospital of General and Abdominal Surgery, Johannes Gutenberg-University Mainz. Mean polyp size was 3.9 cm in diameter. Postoperatively in 233 ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Mörschel M,Heintz A,Junginger T

    更新日期:1999-01-01 00:00:00

  • [Postoperative ileus: part II (Clinical therapy)].

    abstract::To avoid or reduce postoperative ileus, the operative trauma should be minimized and epidural anesthesia for spinal inhibition of the sympathetic nervous system or i. v. lidocaine should be used, all of which probably act by reducing visceral afferent nerve fiber activity. Recent data suggest that perioperative fluid ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

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    authors: Kreis ME,Kasparek MS,Becker HD,Jehle EC,Zittel TT

    更新日期:2003-04-01 00:00:00

  • [Laparoscopic ligamentum teres-plasty].

    abstract::Report on 40 patients suffering from a therapy resistant gastroesophageal reflux disease. Conventional ligamentum-teres-plastic was performed on 18 patients, while 22 patients were treated laparoscopically as minimal invasive procedure. Both techniques are described and the advantages of the laparoscopy versus the con...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kunz W,Usmiani J,Wilker DK

    更新日期:1995-01-01 00:00:00

  • [Device related problems of thoracic stent-grafts].

    abstract:UNLABELLED:The outcome of the endovascular repair of abdominal aortic aneurysms seems to be device related. The presented study evaluated the outcome of endovascular procedure in cases of thoracic aortic pathology according to the implanted thoracic stent graft devices. METHODS:Since November 1999 a variety of thoraci...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-960755

    authors: Gawenda M,Brunkwall J

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  • [Asbestos-induced malignant mesothelioma of the tunica vaginalis testis].

    abstract::Since 1977 the diffuse malignant mesothelioma of the pleura and peritoneum caused by asbestos represents one of the most often compensated occupational cancers in Germany. Because of the probability of an asbestos-related etiology, it is considered as a "signal tumour", mainly indicating exposure to asbestos dust at t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-12499

    authors: Schneider J,Woitowitz HJ

    更新日期:2001-03-01 00:00:00

  • [Operative therapy of esophageal cancer. Palliative surgical methods and results].

    abstract::Between 1969 and 1982, 38 out of 121 patients with oesophageal carcinoma underwent palliative surgery. Operatively in 22 patients a Celestin- or Häring-tube was inserted, gastrostomy was performed 10 times, palliative resection two times. Four times the obstruction was bypassed. 17 patient achieved additional radiatio...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Weitensfelder W,Redtenbacher M,Haiderer O,Wendler E

    更新日期:1985-01-01 00:00:00

  • [Colon Polypectomy - And Then?].

    abstract::Colorectal cancer (CRC) is the most frequent gastrointestinal tumour. Most CRC appear to arise from adenomas of the colon in a period of 10 or 15 years. The ultimately progression of benign adenomas to malignant CRC is known as the adenoma-carcinoma sequence. In addition, the description of the "serrated pathway" has ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1328567

    authors: Berger AW,Ettrich TJ,Dollinger MM

    更新日期:2015-08-01 00:00:00

  • [Practical and theoretical aspects of cost-benefit relations in viscerosynthesis].

    abstract::The necessity of limiting health care costs requires adequate service recording and quality control even in visceral surgery. In this field, the safety of the anastomoses is of greatest importance. Anastomoses at risk are esophageal connections to jejunum or colon and deep rectal anastomoses. At these locations expens...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Fuchs KH,Heimbucher J,Geiger D,Thiede A

    更新日期:1997-01-01 00:00:00

  • [Pathogenesis and therapy of gallbladder perforation].

    abstract::Findings on admission to hospital and after surgery recorded from 35 patients with gallbladder perforation were compared to findings obtained from 98 patients with cholecystitis, with a view to establishing determining factors in pathogenesis of gallbladder perforation and for the purpose of improving therapeutic stra...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schneider JH,Lepsien G

    更新日期:1988-01-01 00:00:00

  • [Small bowel perforation caused by magnetic toys].

    abstract::Accidental ingestion of foreign bodies is a common problem in infants and childhood, but ingestion of magnetic construction toys is very rare. In the case of ingestion of multiple parts of these magnetic construction toys, they may attract each other through the intestinal walls, causing pressure necrosis, perforation...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098941

    authors: Schroepfer E,Siauw C,Hoecht B,Meyer T

    更新日期:2010-06-01 00:00:00

  • [Open Repair of the Thoracic Aorta Using the Clamshell Approach Because of Aortooesopheagel Fistula - a Multidisciplinary Approach].

    abstract:INTRODUCTION:Aortoesophageal fistula (AEF) following open or endovascular operations of the thoracoabdominal aorta is a rare, yet life-threatening condition. In this case, the whole thoracic aorta has to be replaced using a "clamshell approach" because of an AEF following open repair of the ascending aorta after type A...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

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    authors: Gombert A,Grommes J,Kotelis D,Jacobs MJ

    更新日期:2018-10-01 00:00:00

  • [Portal vein embolisation prior to extended liver resection - current and future aspects].

    abstract::Extended liver resections are associated with the risk of postoperative liver dysfunction up to liver failure. For this reason, prior to extended liver resections patients are conditioned in multi-modal therapy regimes. Portal vein embolisation is an essential part of such a multi-modal therapy. The aim of this interv...

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    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1328350

    authors: Rauchfuss F,Scheuerlein H,Lopatta E,Dittmar Y,Schüle S,Settmacher U

    更新日期:2013-08-01 00:00:00

  • [Value of interventional procedures in treatment of stenotic and occluded infra-inguinal vascular bypasses].

    abstract::In a prospective study, the results following PTA of 30 short stenoses > 70% in 17 infrainguinal arterial bypass grafts were examined. The stenoses were detected after a mean follow-up of 7.2 months by Duplex-ultrasound. The initial success rate after PTA was 100%. After an average time of 4.6 months recurrent graft s...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Wölfle KD,Mayer H,Tietze W,Bruijnen H,Mayer B,Loeprecht H

    更新日期:1994-01-01 00:00:00

  • [Management of complications after liver resection].

    abstract::Hepatic resections represent a standard procedure for both benign and malignant liver diseases. Nevertheless, typical complications arise follow-ing hepatic surgery. Besides common problems, such as bile leakage or impaired wound healing, rare complications, like progressive liver failure or portal vein thrombosis are...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1247331

    authors: Heise M,Jandt K,Rauchfuss F,Settmacher U

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  • [Liver rupture in peliosis hepatis].

    abstract::A 44-year old woman had pain in the epigastric region under the thorax aperture on the left side 6 weeks prior to admission. Her doctor had prescribed Rewodina and Myocuran without success. Then she suffered circulatory collapse twice. Upon hospitalization, she experienced colicky upper abdominal pain and vomiting....

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Adam G,Lesser T,Neumann R

    更新日期:1991-01-01 00:00:00

  • [Extended resections in bronchial cancer: complications and late results].

    abstract::From 1982 through April 1992, 192 patients underwent extended resection for non-small cell carcinoma of the lung (NSCLC) invading the chest wall (n = 52) or the mediastinum (n = 140). Complete resection of the tumor was possible in 81 (58%) patients with invasion of mediastinum and in 34 (65%) patients with invasion o...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Dienemann H,Hoffmann H,Mewes A,Müller C,Schildberg FW

    更新日期:1993-01-01 00:00:00

  • [Laparoscopic operations of the bile duct].

    abstract::Laparoscopic common bile duct exploration offers the possibility of complete minimal invasive therapy of biliary stone disease with respect to the anatomical structures of the papilla Vateri. In spite of generously indicated preoperative ERC, we found in 23 of 376 laparoscopic cholecystectomies unsuspected common bile...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Helms B,Czarnetzki HD

    更新日期:1993-01-01 00:00:00

  • [The Transverse Coloplasty Pouch (TCP)--function and subjective judgement in comparison with the surgically more complicated J-Pouch].

    abstract::The present study shows the comparison of function and subjective judgement between two pouch-constructions after TME as treatment for rectal cancer. In 61 cases we constructed a J-Pouch, in 25 cases a transverse coloplasty pouch (TCP). The sex distribution was nearly the same. The influence of additional treatment li...

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    pub_type: 杂志文章

    doi:10.1055/s-2002-33958

    authors: Kanne V,Kim NH,Ulrich B

    更新日期:2002-09-01 00:00:00

  • [Significance of preoperative prognosis].

    abstract::The granulocyte phagocytosis test, Karnofsky index, and ASA standard were used in the context of 287 patients for general surgery, for the purpose of retrospective elucidation of the relationship between presurgical prognostication and postsurgical complications. Sensitivity, specificity, and "predictive values" were ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Friedrich A,Glass W,Koch D

    更新日期:1986-01-01 00:00:00

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

    abstract::The clinical value of growth factor treatment of chronic wounds has yet to be determined. Beneficial effects have been reported so far only from specialized wound care centers where growth factors supplemented the results achieved with good wound care. In general optimization of current methods of external wound care,...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Vogt PM,Drücke D,Mühlberger T,Homann HH,Steinau HU

    更新日期:2000-01-01 00:00:00