A new guide system for posteromedial portal in arthroscopic knee surgery.

Abstract:

:A view through the posteromedial portal is necessary to observe the posterior portion of the knee joint such as the tibial attachment of the posterior cruciate ligament (PCL) or the posterior horn of the medial meniscus, which is barely, visible through anterior portals. Especially in arthroscopic PCL reconstruction, the arthroscopic view through the posteromedial portal is indispensable for boring a tibial bone tunnel that is correctly sited. However, it is difficult to create this portal safely without cartilaginous or meniscal damage. We have produced new guidelines to facilitate the process of creating the posteromedial portal even by inexperienced hands. With a cannulated K-wire and a cannulated rod with sharp teeth, the joint capsule of the posteromedial corner can be penetrated safely with or without viewing the posteromedial corner through the anterolateral portal. Based on our experience of using this guide system, we believe it will be a great help to many orthopaedic surgeons in performing various types of arthroscopic surgery, not only for PCL reconstruction but also for arthroscopic synovectomy.

authors

Ochi M,Adachi N,Sumen Y,Uchio Y,Iwasa J

doi

10.1007/s004020050304

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

25-8

issue

1-2

eissn

0936-8051

issn

1434-3916

journal_volume

118

pub_type

杂志文章
  • Inter- and intraobserver reliability of non-weight-bearing foot radiographs compared with CT in Lisfranc injuries.

    abstract:BACKGROUND:Injury of the tarsometatarsal (TMT) joint complex, known as Lisfranc injury, covers a wide range of injuries from subtle ligamentous injuries to severely displaced crush injuries. Although it is known that these injuries are commonly missed, the literature on the accuracy of the diagnostics is limited. The d...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03391-w

    authors: Ponkilainen VT,Partio N,Salonen EE,Riuttanen A,Luoma EL,Kask G,Laine HJ,Mäenpää H,Päiväniemi O,Mattila VM,Haapasalo HH

    更新日期:2020-10-01 00:00:00

  • Sacrococcygeal chordomas: problems in diagnosis and management.

    abstract::Chordomas are rare, insidious, and slow-growing but locally aggressive, malignant tumors originating from the primitive notochord and localized along the axial skeleton. Between 1988 and 1993, four patients with sacrococcygeal chordomas were treated at the Ankara Numune State Hospital. There was a median 17-month inte...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00703453

    authors: Turgut M,Gül B,Taşkin Y

    更新日期:1998-01-01 00:00:00

  • Evaluation of the muscles around the knee in rabbits whose anterior cruciate and/or medial collateral ligaments were dissected.

    abstract:INTRODUCTION:The biological response of the muscles around the knee in chronic ligamentous instability was investigated in an animal study. MATERIALS AND METHODS:There were four groups of 6- to 9-month-old adult New Zealand albino rabbits (2500-3300 g). The animals were divided into groups according to the ligament th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-003-0633-6

    authors: Kilic BA,Dingil O,Erkula G,Elmas C,Erdogan D,Atik OS

    更新日期:2004-11-01 00:00:00

  • Complications of implant removal after healed hip fractures.

    abstract:INTRODUCTION:Osteosynthesis of pertrochanteric fractures is one of the most frequently performed procedures in orthopaedic trauma care. Auto-dynamization during fracture healing can lead to lateralization of the screw or blade. This can cause debilitating complaints, which sometimes necessitate the removal of the screw...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03435-1

    authors: Driessen MLS,Goessens MLMJ

    更新日期:2020-11-01 00:00:00

  • Management of infected shoulder replacement.

    abstract:BACKGROUND:The purpose of the present work is to present treatment options and our own results for patients with infected shoulder alloarthroplasties. METHODS:Twelve patients with an infected shoulder replacement were treated. Their age ranged from 56 to 82 years. Indications for surgical revision were clinical sympto...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-003-0497-9

    authors: Jerosch J,Schneppenheim M

    更新日期:2003-06-01 00:00:00

  • Successful use of posterior instrumented spinal fusion alone for scoliosis in 19 patients with neurofibromatosis type-1 followed up for at least 25 months.

    abstract:INTRODUCTION:Posterior instrumented fusion alone has been considered inadequate to correct scoliosis in most patients with neurofibromatosis type-1 (NF-1) because of their weak bone structure. This study was undertaken to evaluate whether the extension of fusion one level beyond the conventional fusion level would enab...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0696-5

    authors: Li M,Fang X,Li Y,Ni J,Gu S,Zhu X

    更新日期:2009-07-01 00:00:00

  • Current management of open fractures: results from an online survey.

    abstract:BACKGROUND:Open fractures are orthopaedic emergencies that carry a high risk for infection, non-union and soft tissue complications. Evidence-based treatment is impeded by the lack of high-quality evidence-based studies. The aim of this investigation was to elucidate the current practice of open fracture management in ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2566-x

    authors: Gümbel D,Matthes G,Napp M,Lange J,Hinz P,Spitzmüller R,Ekkernkamp A

    更新日期:2016-12-01 00:00:00

  • A combined fracture of the greater and lesser tuberosity with head shaft continuity in the proximal humerus.

    abstract::We treated a combined fracture of the greater and lesser tuberosity with head shaft continuity in the proximal humerus. This case is impossible to classify in three of the classifications, the Neer classification, AO Müller classification, or Jakob classification. However, this case has been described as fracture type...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-006-0252-0

    authors: Takase K,Shinmura K,Yamamoto K

    更新日期:2007-12-01 00:00:00

  • Custom-made wrist prothesis (UNI-2™) in a patient with giant cell tumor of the distal radius: 10-year follow-up.

    abstract::Wrist endoprosthesis is still an exceptional indication compared to the prosthesis of large joints, especially when a rescue surgery procedure of the wrist is no longer possible and the complete wrist arthrodesis is to be considered the ultima ratio. However, a suspended function in the wrist is accompanied by a signi...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03593-2

    authors: Damert HG,Kober M,Mehling I

    更新日期:2020-12-01 00:00:00

  • Remodelling and healing process of moderately heat-treated bone grafts after wide resection of bone and soft-tissue tumors.

    abstract:INTRODUCTION:In the reconstruction of extensive bone defects after massive resection of malignant musculoskeletal tumors, the clinical results of moderately heat-treated autogenous bone graft have rarely been documented. We evaluated the remodelling and healing process of moderately heat-treated autogenous bone graft b...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-003-0556-2

    authors: Sugiura H,Yamamura S,Sato K,Katagiri H,Nishida Y,Nakashima H,Yamada Y

    更新日期:2003-12-01 00:00:00

  • Recommendations for fracture management in patients with osteopetrosis: case report.

    abstract:INTRODUCTION:Osteopetrosis is caused by general increase in bone density and obliteration of the medullary canal. Fractures are a frequent complication and their management is considered a challenge due to increased resistance to reaming and screw positioning; reduction maneuvers have to be done more carefully to avoid...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-014-2144-z

    authors: Farfán MA,Olarte CM,Pesantez RF,Suárez S,Vallejo L

    更新日期:2015-03-01 00:00:00

  • Age-related magnetic resonance imaging morphology of the menisci in asymptomatic individuals.

    abstract::In 82 asymptomatic subjects aged 8-62 years we evaluated the menisci by magnetic resonance imaging (MRI). Using a 1.0-tesla imager spin-echo sequences (SE 700/20), partial-saturation sequences (500/10), and short-time inversion-recovery sequences (1600/130/30) were performed. For grading the degeneration of the menisc...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00434553

    authors: Jerosch J,Castro WH,Assheuer J

    更新日期:1996-01-01 00:00:00

  • What is the tolerated width of periacetabular osteophytes to avoid impingement in cementless THA?: a three-dimensional simulation study.

    abstract:BACKGROUNDS:Impingement is a risk factor for instability and prosthetic failure following total hip arthroplasty (THA). If the periacetabular osteophytes are not removed at surgery, impingement could occur between the osteophytes and the femoral stem following THA. However, excessive removal of the osteophytes could le...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2982-1

    authors: Kim JT,Lee J,Lee YK,Ha YC,Won YY,Lee K,Khanduja V,Koo KH

    更新日期:2018-08-01 00:00:00

  • Reliability of computer-assisted surgery as an intraoperative ruler in navigated high tibial osteotomy.

    abstract:BACKGROUND:Computer-assisted surgery (CAS) can act as an intraoperative ruler in high tibial osteotomy (HTO) to visualize continuously the leg during surgery. QUESTIONS:The aim of the study is to evaluate the accuracy of CAS with respect to preoperative planning and postoperative deviation from the planned leg axis in...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00402-010-1145-9

    authors: Gebhard F,Krettek C,Hüfner T,Grützner PA,Stöckle U,Imhoff AB,Lorenz S,Ljungqvist J,Keppler P,AO CSEG.

    更新日期:2011-03-01 00:00:00

  • Double or triple interlocking when nailing proximal tibial fractures? A biomechanical investigation.

    abstract:OBJECTIVES:To determine whether there are differences in stability between double and triple interlocked intramedullary nails used for the fixation of extraarticular proximal tibial fractures. DESIGN:Randomized in vitro biomechanical-experimental laboratory investigation. SETTING:Biomechanics laboratory of the Clinic...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0954-1

    authors: Hansen M,Blum J,Mehler D,Hessmann MH,Rommens PM

    更新日期:2009-12-01 00:00:00

  • Fractures of the distal tibia treated with closed reduction and minimally invasive plating.

    abstract:INTRODUCTION:The treatment of fractures of the distal tibia can be problematical because of the thin soft-tissue covering. Bridging slide-insertion plate osteosynthesis is performed by indirect, axially correct reduction of the fracture and stabilization without opening the soft tissue at the fracture site. Stripping o...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-004-0778-y

    authors: Krackhardt T,Dilger J,Flesch I,Höntzsch D,Eingartner C,Weise K

    更新日期:2005-03-01 00:00:00

  • Growth plate fractures of the distal tibia: is CT imaging necessary?

    abstract:PURPOSE:Comparison of conventional radiographs (CR) of distal tibial growth plate fractures [Salter-Harris (SH) fracture types I-V/triplane fractures I-III] with computed tomography (CT) as the reference standard and assessment of diagnostic benefit of CT imaging in the affected patients. MATERIALS AND METHODS:We retr...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1140-1

    authors: Lemburg SP,Lilienthal E,Heyer CM

    更新日期:2010-11-01 00:00:00

  • Which factor is most important for occurrence of cutout complications in patients treated with proximal femoral nail antirotation? Retrospective analysis of 298 patients.

    abstract:INTRODUCTION:Mechanical complications, such as cut-out of the head-neck fixation device, are the most common causes of morbidity after trochanteric femur fracture treatment. The causes of cut-out complications are well defined in patients who are treated with sliding hip screws and biaxial cephalomedullary nails but th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2410-3

    authors: Turgut A,Kalenderer Ö,Karapınar L,Kumbaracı M,Akkan HA,Ağuş H

    更新日期:2016-05-01 00:00:00

  • Tissue response to bioabsorbable self-reinforced polylevolactide and polyglycolide pins implanted intra-articularly and directly into the bone on different levels. An experimental study on rats.

    abstract::Self-reinforced poly-L-lactide (SR-PLLA) and self-reinforced polyglycolide (SR-PGA) pins were implanted intra-articularly and directly into the bone of the distal femur of rats at three levels: above, on the same level, and under the surface. For the controls only channels were drilled, or the controls were not operat...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050336

    authors: Koskikare K,Toivonen T,Rokkanen P

    更新日期:1998-01-01 00:00:00

  • Low-profile double plating versus dorsal LCP in stabilization of the olecranon fractures.

    abstract:INTRODUCTION:Proximal ulna fractures are common in orthopaedic surgery. Comminuted fractures require a high primary stability by the osteosynthesis, to allow an early functional rehabilitation as fast as possible, to reduce long-term limitations of range of motion. Classical dorsal plating is related to wound healing p...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03473-9

    authors: Hoelscher-Doht S,Kladny AM,Paul MM,Eden L,Buesse M,Meffert RH

    更新日期:2020-05-16 00:00:00

  • Acetabular development following early treatment of hip dysplasia by Pavlik harness.

    abstract::One hundred sixty-two neonates with sonographically diagnosed developmental dysplasia of the hip (200 hips) according to the method of Graf were treated with a Pavlik harness until sonographic maturation was reached. Eight patients (12 hips) treated with closed reduction and retention in a bilateral hip spica cast wer...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00443818

    authors: Rachbauer F,Sterzinger W,Klestil T,Krismer M,Frischhut B

    更新日期:1994-01-01 00:00:00

  • A novel remaining tendon preserving repair technique leads to improved outcomes in special rotator cuff tear patterns.

    abstract:INTRODUCTION:The purpose of this study was to identify the tear pattern that could be anatomically repaired by preserving the remaining tendon on footprint and evaluate clinical outcomes of patients who underwent remaining tendon preserving cuff repair. MATERIALS AND METHODS:Of 523 patients with full-thickness rotator...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2956-3

    authors: Jeon YS,Kim RG,Shin SJ

    更新日期:2018-08-01 00:00:00

  • Intramedullary nailing with interlocking.

    abstract::The locked or unlocked intramedullary nail is considered today in most institutions the first choice for stabilisation of the majority of closed diaphyseal fractures of the femur and tibia. In 1st and 2nd degree open fractures of the tibia, the unreamed locked nail may perhaps become the preferred implant. In spite of...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00636169

    authors: Rüedi T

    更新日期:1990-01-01 00:00:00

  • Comparison between bovine bone and titanium interference screws for implant fixation in ACL reconstruction: a biomechanical study.

    abstract:INTRODUCTION:The application of interference screws for the fixation of bone-patellar tendon-bone (BPTB) grafts is a well-established technique in anterior-cruciate ligament reconstruction. Interference screws derived from bovine compact bone are a biological alternative to metallic or biodegradable polymer interferenc...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1052-0

    authors: Efe T,Bauer J,Herdrich S,Gotzen L,El-Zayat BF,Schmitt J,Schofer MD

    更新日期:2010-08-01 00:00:00

  • Treatment of high hip dislocation with a cementless stem combined with a shortening osteotomy.

    abstract:INTRODUCTION:The purpose of this study was to review the clinical and radiographic outcomes and report the major complications in a group of hips with Crowe type IV developmental dysplasia that underwent reconstruction with a cementless total hip arthroplasty and a transverse subtrochanteric shortening osteotomy fixed ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-012-1560-1

    authors: Baz AB,Senol V,Akalin S,Kose O,Guler F,Turan A

    更新日期:2012-10-01 00:00:00

  • Hybrid external fixation in treatment of proximal tibial fractures: a good outcome in AO/ASIF type-C fractures.

    abstract:INTRODUCTION:The treatment of proximal tibial fractures is often challenging, and internal fixation is occasionally associated with problems in wound healing due to frequently co-existing soft tissue injuries. External fixation of these fractures have yielded satisfactory results, but some studies have reported problem...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0931-8

    authors: Savolainen VT,Pajarinen J,Hirvensalo E,Lindahl J

    更新日期:2010-07-01 00:00:00

  • Cobalt serum levels differ in well functioning Birmingham resurfacing and Birmingham modular THA.

    abstract:INTRODUCTION:Metal-on-metal (MoM) bearings are known to release metal ions secondary to wear and corrosion. This may cause local reactions (adverse soft tissue reactions and osteolysis) and systemic effects. Little is known about the exact pattern and the differences between large head MoM total hip replacements (THA) ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2439-3

    authors: Renner L,Faschingbauer M,Schmidt-Braekling T,Boettner F

    更新日期:2016-05-01 00:00:00

  • Operative treatment of femoral head necrosis.

    abstract::The cases of 80 patients with necrosis of the femoral head who underwent operative treatment in the period April 1980 to April 1988 are reported. Altogether, 102 operative procedures were carried out: 48 intertrochanteric osteotomies, 50 arthroplasties, 3 subchrondral bone graftings, and in one case drilling of the ne...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00443473

    authors: Melzer C,vd Boom H,Manz P

    更新日期:1992-01-01 00:00:00

  • Calcaneal fracture: results of earlier rehabilitation after open reduction and internal fixation.

    abstract:INTRODUCTION:This study aimed to analyze the clinical and radiological outcomes of early weight-bearing and rehabilitation after open reduction and internal fixation (OR/IF) of calcaneal fracture. MATERIALS AND METHODS:This retrospective study was conducted on 78 patients with unilateral calcaneal fracture who underwe...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03575-4

    authors: Park ES,Choi Y,Lee J,Park SH,Lee HS

    更新日期:2020-08-11 00:00:00

  • The biomechanical effect of specific labral and capsular lesions on posterior shoulder instability.

    abstract:PURPOSE:In contrast to anterior shoulder instability there seems to be no single key lesion in posterior shoulder instability. Therefore, the purpose of this study was to determine the biomechanical effect of specific posterior capsulolabral lesions. Our hypothesis was that a posterior capsule lesion will have a predom...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1232-y

    authors: Wellmann M,Blasig H,Bobrowitsch E,Kobbe P,Windhagen H,Petersen W,Bohnsack M

    更新日期:2011-03-01 00:00:00