دورية أكاديمية
أعرض في EDS

[Corrective osteotomy in primary varus, double varus and triple varus knee instability with cruciate ligament replacement].

التفاصيل البيبلوغرافية
العنوان: [Corrective osteotomy in primary varus, double varus and triple varus knee instability with cruciate ligament replacement].
عنوان ترانسليتريتد: Korrekturosteotomie bei Primary-Varus-, Double-Varus- und Triple-Varus-Knieinstabilität mit Kreuzbandersatz.
المؤلفون: Imhoff AB; Abteilung für Sportorthopädie, TU München. a.imhoff@lrz.tum.de, Linke RD, Agneskirchner J
المصدر: Der Orthopade [Orthopade] 2004 Feb; Vol. 33 (2), pp. 201-7.
نوع المنشور: Journal Article
اللغة: German
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 0331266 Publication Model: Print Cited Medium: Print ISSN: 0085-4530 (Print) Linking ISSN: 00854530 NLM ISO Abbreviation: Orthopade Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Berlin, New York, Springer-Verlag.
مواضيع طبية MeSH: Bone Malalignment/*surgery , Joint Instability/*surgery , Knee Injuries/*surgery , Osteoarthritis/*surgery , Osteotomy/*methods , Posterior Cruciate Ligament/*injuries , Prosthesis Implantation/*methods, Adult ; Bone Malalignment/diagnostic imaging ; Follow-Up Studies ; Humans ; Joint Instability/diagnostic imaging ; Knee Injuries/diagnostic imaging ; Osteoarthritis/diagnostic imaging ; Posterior Cruciate Ligament/diagnostic imaging ; Posterior Cruciate Ligament/surgery ; Postoperative Complications/diagnostic imaging ; Radiography ; Treatment Outcome
مستخلص: Osteochondral lesions and osteoarthritis in young patients are often caused by chronic knee instability in varus malaligned knees. We present the indication, operative technique, and results of 57 patients treated by simultaneous high tibial osteotomy and cruciate ligament reconstruction. The indication for simultaneous high tibial valgus osteotomy and ACL reconstruction is chronic anterior knee instability in varus knees of patients under 40 years of age. In these patients, medial meniscus deficiency secondary to prior injuries and/or chronic knee instability have frequently led to unicompartmental (medial) tibiofemoral degenerative changes. The average correction angle of the osteotomy was 7 degrees (4-10). Subjectively, all patients reported an improvement of preoperative swelling, pain, and instability. Additional cartilage surgery or meniscus implantation did not significantly alter the clinical score values. Complications occurred in four patients. Unstable varus malangulated knees can be sufficiently treated by osteotomy and cruciate ligament plasty and is suggested as cost-effective therapy with good short-term results. Performing both operations in one procedure facilitates early rehabilitation and return of the patients back to the activities of daily living and sports.
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تواريخ الأحداث: Date Created: 20040212 Date Completed: 20040802 Latest Revision: 20181113
رمز التحديث: 20240829
DOI: 10.1007/s00132-003-0619-7
PMID: 14872312
قاعدة البيانات: MEDLINE
الوصف
تدمد:0085-4530
DOI:10.1007/s00132-003-0619-7