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Digitale Medien

Arthroscopy of the knee without pathological findings (1994)

Schlepckow, P. ; Weber, M. ; Hempel, K.

Springer

Knee surgery, sports traumatology, arthroscopy 2 (1994), S. 85-87

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ISSN: 1433-7347

Schlagwort(e): Anterior knee pain ; Anterior cruciate insufficiency ; Hypermobility ; Limited hip range of movement

Quelle: Springer Online Journal Archives 1860-2000

Thema: Medizin , Sportwissenschaft

Notizen: Abstract From 1983 to 1990, 82 knee arthroscopies (8.2%) carried out in our patients found nothing pathological. Sixty-four percent of these patients were active in sports, but trauma was noted in 32% of the cases only. Football and other ball games, skiing, and track and field athletics were the main causes. Twenty-six percent of the patients had undergone previous surgery in the affected knee. At a mean of 4.6 years postoperatively, clinical and radiological re-assessment was conducted so as to compare our pre- and intraoperative findings with the further course of events. We found that 48.2% of the patients were symptom-free after the diagnostic arthroscopy, 37.5% had persistent discomfort and 14.3% had a recurrence of discomfort after 6 months to 2 years. The objective measurement score (Zarins Rowe score), at 47.5 out of 50 points, was better than the subjective score, at 40 out of 50 points. Our diagnoses had to be changed retrospectively: meniscal lesions were diagnosed too frequently, while chondropathia patellae and instability were often missed. Additionally, complaints could be related to abnormal axis, limited range of motion of the hip or knee, leg length inequality and hypermobility. Being unable to verify a presumed intra-articular lesion arthroscopically is frustrating for both doctor and patient. Our data suggest that meniscal signs should be looked at more critically and emphasise the need for a complete evaluation of the whole locomotor system.

Materialart: Digitale Medien

URL: http://dx.doi.org/10.1007/BF01476478

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Digitale Medien

78. Fragestellungen und Ergebnisse prospektiver Studien in der Chirurgie (1978)

Schumpelik, V. ; Hempel, K. ; Schreiber, H. W.

Springer

Langenbeck's archives of surgery 347 (1978), S. 449-456

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ISSN: 1435-2451

Schlagwort(e): Prospective trial ; Surgery, results of ; Prospektive Studie ; Ergebnisse in der Chirurgie

Quelle: Springer Online Journal Archives 1860-2000

Thema: Medizin

Beschreibung / Inhaltsverzeichnis: Zusammenfassung Seit der Erstbeschreibung einer prospektiven klinischen Untersuchung durch J. Lind (1753) ist die kontrollierte Studie zum wichtigen Gegenstand klinischer Forschung geworden. Gegenstände von prospektiven Studien können sein : prophylaktische Maßnahmen zur Verhütung von Komplikationen (z. B. Thrombose, Streßulcus, Hepatitis, Wundinfektion), Operationsindikation, Operationsvorbehandlung, Operationstaktik und -technik sowie die Nachbehandlung. Für jede Fragestellung werden Beispiele angeführt.

Notizen: Summary Since the first clinical prospective trial of J. Lind in 1753, the controlled study has proved to be an essential instrument in clinical research. Possible topics include: pharmacologic prophylaxis of complications such as stress ulcer, thrombosis, etc., indications for operation, preoperative preparation, choice of surgical procedure, and techniques or postoperative treatment. Examples for each topic are given.

Materialart: Digitale Medien

URL: http://dx.doi.org/10.1007/BF01579375

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