...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Der Unfallchirurg >Implant-free anterior cruciate ligament reconstruction with diamond instruments
【24h】

Implant-free anterior cruciate ligament reconstruction with diamond instruments

机译：

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

abstract_textpHamstring and patella tendons are usually used for anterior cruciate ligament (ACL) reconstruction and fixed with foreign material, partially executed far from the original point of insertion. Besides the biomechanical questions bone defects are a severe problem in cases of revision./ppWe developed a biological method with diamond cutting instruments for graft fixation with bone dowels near the native insertion. The graft is tensioned and fixed in 120A degrees knee flexion and is self-adapting in extension./ppThe technique has been used in a large number of cases during a prospective study with a follow-up of 10 years for patella tendon and 4 years for hamstring tendon grafts. In this investigation 124 patients with bone-patellar tendon-bone (BPTB) grafts showed an International Knee Documentation Committee (IKDC) score A/B in 87 after a mean follow-up of 9.6 years, a Lachman test (maximum side-to-side difference) of 1.38 +/- 0.93 mm and a negative pivot shift test in 91 of the cases. Of the 147 patients with hamstring tendon grafts 89 had an IKDC score A/B after a mean follow-up of 4.3 years, a Lachman test of 1.14 +/- 0.76 mm and no pivot shift in 90 of the cases. The Tegner activity score decreased by -1.8 in both groups./ppConclusion: This method allows a reliable biological press-fit fixation for every kind of graft near the original point of insertion, preventing bone defects, allowing early intensive rehabilitation and low costs./p/abstract_text

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号