Library

X
feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Electronic Resource
    Electronic Resource
    Complications following arthroscopic anterior cruciate ligament reconstruction A 2–5-year follow-up of 604 patients with special emphasis on anterior knee pain (1999)
    Springer
    Knee surgery, sports traumatology, arthroscopy 7 (1999), S. 2-8 
    Details
    ISSN: 1433-7347
    Keywords: Key words Anterior knee pain ; Anterior cruciate ligament ; Arthroscopy ; Complication ; Donor site
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Sports Science
    Notes: Abstract The aim of the study was to assess knee function after arthroscopic anterior cruciate ligament reconstruction and to analyse complications impeding rehabilitation, additional surgery until the final follow-up, as well as residual patellofemoral pain and donor-site problems. Between 1991 and 1994, 635 patients were operated on using patellar tendon autografts and interference screw fixation. Of these, 604 (95.1%) patients (403 male and 201 female) were re-examined by independent observers at the final follow-up 38 (range 21–68) months post-operatively. The Lysholm score was 85 (range 14–100) points and the Tegner activity level was 6 (range 1–10). Using the IKDC score, 206 patients (34.1%) were classified as normal, 244 (40.4%) as nearly normal, 122 (20.2%) as abnormal and 32 (5.3%) as severely abnormal. In patients with an uninjured contralateral knee (n = 527), the KT-1000 revealed a total side-to-side difference of 1.5 (range –7–11) mm, and 384/527 (72.9%) had a side-to-side difference of ≤ 3 mm. The one-leg-hop test was 95% (range 0%–167%). One or more complications impeding rehabilitation were recorded in 184/604 patients (30.5%). The most common was an extension deficit (〉 5°), in 81 patients (13.4%). During the period until the final follow-up, 196 re-operations were performed in 161/604 (26.7%) patients. More than one re-operation was required in 27 patients. Shaving and anterior scar resection due to extension deficit were the most common procedures performed (on 65 occasions). Moderate to severe subjective anterior knee pain related to activity, walking up and down stairs, and sitting with the knee flexed was found in 203/604 patients (33.6%). The median loss of anterior knee sensitivity was 16 (range 0–288) cm2. Patients with a full range of motion had less anterior knee pain than patients with isolated flexion or extension deficits, or combined flexion and extension deficits (P 〈 0.05, P = 0.08 and P 〈 0.001, respectively). Patients with a full range of motion had less anterior knee pain than patients with extension deficits (with and without flexion deficits) (P 〈 0.001). Patients with a full range of motion and a minimal loss (≤ 4 cm2) of anterior knee sensitivity had significantly (P 〈 0.01) less subjective anterior knee pain than patients who did not fulfil these criteria. A considerable number of complications hindering the rehabilitation and conditions requiring additional surgery until the final follow-up were recorded. Anterior knee pain and problems with knee-walking were correlated with the loss of range of motion and anterior knee sensitivity.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001670050112
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Closing patellar tendon defects after anterior cruciate ligament reconstruction: absence of any benefit (1998)
    Springer
    Knee surgery, sports traumatology, arthroscopy 6 (1998), S. 82-87 
    Details
    ISSN: 1433-7347
    Keywords: Key words Patellar tendon defects ; Donar site morbidity ; Anterior ; cruciate ligament reconstruction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Sports Science
    Notes: Abstract The most common graft in anterior cruciate ligament (ACL) surgery involves using the central one-third of the patellar tendon. Knowledge concerning the postoperative disability after harvesting the patellar tendon is, however, limited. The aim of this study was to evaluate the impact patellar tendon suture and bone grafting of the patellar bone defect might have in terms of functional outcome and patellofemoral pain after harvesting the bone-tendon-bone graft, compared with leaving the harvested site non-sutured and non-grafted. Sixty patients, scheduled for arthroscopically assisted ACL reconstruction, were randomly allocated to two groups. In group I, suture of the patellar tendon and bone grafting of the patellar defect were performed. In group II, the tendon gap and the patellar defect were left open. Preoperatively, there was no significant difference between the groups when comparing objective knee stability, as measured with a KT-1000 laxity meter, Lysholm score, Tegner activity level, IKDC score, or patellofemoral pain score. Both groups had a significantly improved Lysholm score at the 2-year follow-up, without any difference between them. Tegner's activity level was significantly lower at follow-up, compared with the pre-injury level in both groups. The patellofemoral pain score improved significantly after the reconstruction, without any difference between the groups. Ultrasonography did not reveal any difference between the groups in terms of healing of the tendon gap. This study revealed no differences in donor site morbidity, functional outcome, patellofemoral pain score or knee joint stability between the two treatment groups. The conclusion is that suture of the patellar tendon and bone grafting of the patellar defect do not improve the functional results or reduce donor site morbidity after arthroscopically assisted ACL.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001670050077
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Subacute versus delayed reconstruction of the anterior cruciate ligament in the competitive athlete (1999)
    Springer
    Knee surgery, sports traumatology, arthroscopy 7 (1999), S. 146-151 
    Details
    ISSN: 1433-7347
    Keywords: Key words Anterior cruciate ; Reconstruction ; Subacute ; Delayed meniscal injury
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Sports Science
    Notes: Abstract The objective of this study was to compare the function and activity level in patients with anterior cruciate ligament injuries, who participated in competitive sports (Tegner activity level ≥ 7) and underwent a reconstruction of the anterior cruciate ligament, either subacute (2–12 weeks, group I) or late (12–24 months, group II) after the injury. The patients in group I (n = 97) were comparable with those in group II (n = 103) in terms of gender, age, pre-injury activity level, and the reconstruction technique. At the final follow-up (2–5.5 years after the operation), the Lysholm score, the IKDC evaluation system and the one-leg-hop test revealed no differences between the groups. There were also no differences between the groups in terms of the patients’ subjective evaluation or expectations. The Tegner activity level at follow-up was 8 (range 2–10) in group I and 6 (range 2–9) in group II (P = 0.0001). The same thing was found in terms of the desired Tegner activity level, which was 9 (range 4–9) in group I and 7 (range 3–10) in group II (P = 0.0002). The KT-1000 laxity meter revealed a total side-to-side difference of 1.5 mm (–3.5–8.5) in group I and 1.5 mm (–3.5–7) in group II (NS). Associated meniscal surgery between the index injury and the reconstruction, or during the reconstruction, was performed in 37/97 (38%) of the patients in group I and 59/103 (57%) of the patients in group II (P 〈 0.01). This study revealed that competitive athletes who underwent reconstruction at a subacute stage after the anterior cruciate ligament injury had a higher activity level 2–5.5 years after the index operation, as well as a higher desired level of activity compared to athletes who had the reconstruction delayed by 12–24 months. Furthermore, meniscal injuries were significantly more frequent if the reconstruction was delayed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001670050139
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Postoperative analgesic effects of an external cooling system and intra-articular bupivacaine/morphine after arthroscopic cruciate ligament surgery (1996)
    Springer
    Knee surgery, sports traumatology, arthroscopy 4 (1996), S. 200-205 
    Details
    ISSN: 1433-7347
    Keywords: External cooling system ; Bupivacaine ; Morphine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Sports Science
    Notes: Abstract The aim of this study was to evaluate the analgesic effect of an external cooling system with or without the combined effect of intra-articularly administered bupivacaine/morphine after arthroscopic anterior cruciate ligament (ACL) reconstruction. Fifty patients with isolated ACL insufficiency operated on under general anaesthesia were randomized to three different postoperative treatment groups. Group I was treated with the cooling system during the first 24 h after surgery and an intraarticular injection of 20 ml of physiological saline given at the completion of surgery; in group II, the cooling system was combined with an intra-articular injection of 20 ml bupivacaine 3.75 mg/ml and 1 mg of morphine at the end of the operation; while group III (placebo group) received an intra-articular injection of 20 ml of physiological saline at the completion of surgery. Pain was assessed using a visual analogue scale (VAS) at 1, 2, 4, 6, 24 and 48 h postoperatively. Supplementary analgesic requirements were registered. In group I 80% (16/20) and in group II 90% (18/20) of the patients were satisfied with the postoperative pain control regimen (NS). This was significantly better than in group III, where 30% (3/10) were satisfied. The pain scores were significantly lower in the two treatment groups compared with the placebo group during the entire postoperative period. The pain score was significantly lower in group II than in group I at 24 and 48 h after surgery. The supplementary analgesic requirements were also lower in the two treatment groups compared with the placebo group. No complications due to the use of the cooling system or the intra-articular injections of bupivacaine/morphine were observed. The external cooling system used in this study provides an effective method of obtaining pain relief after arthroscopic surgery. The combination with an intra-articular injection of morphine and bupivacaine results in a slightly greater analgesic effect than the cooling system alone.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01567963
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 5
    Electronic Resource
    Electronic Resource
    Does the peak torque of the hamstring and quadriceps muscles affect the knee laxity measurements in male patients with anterior cruciate ligament rupture? (2000)
    Springer
    Journal of orthopaedics and traumatology 1 (2000), S. 125-130 
    Details
    ISSN: 1590-9999
    Keywords: Key words Anterior cruciate ligament (ACL) ; Rupture ; Strength measurement ; Male ; Knee laxity ; KT-1000
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of the study was to examine whether the peak torque of the hamstring and quadriceps muscles affects the anterior knee laxity measurements in male patients. The study comprised 45 male patients who had a chronic unilateral anterior cruciate ligament (ACL) rupture. Preoperatively, one experienced physiotherapist performed all the KT-1000 examinations. The anterior displacement was registered at 89 Newton. Immediately after the KT-1000 examination, an isokinetic concentric peak torque measurement was performed at 60°/s for both the hamstring and quadriceps muscles. The anterior displacement was significantly larger in the ACL-ruptured knees compared with the noninjured knees (p 〈 0.001). Patients with strong hamstring muscles on the injured side displayed significantly less knee laxity compared with patients with less strength (p = 0.018). There was an inverse correlation between the peak torque of the hamstring muscles and the KT-1000 anterior laxity measurements in the ACL-ruptured knees (rho = −0.37, p = 0.01). We conclude that male patients with strong hamstring muscles display smaller KT-1000 laxity measurements than patients with less strength.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s101950070003
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...