Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Jul 2005
Publication rates of abstracts presented at Biennial Meetings of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine.
A study was carried out to determine the fate of abstracts presented at the Biennial Meetings of the International Society of Arthroscopy, Knee Surgery and Sports Medicine. All abstracts presented at the 1997 and 1999 Biennial Meetings of the International Society of Arthroscopy, Knee Surgery and Sports Medicine were entered into a database. A Medline search was performed in November 2003 for each abstract to determine whether a full publication resulted from the abstract. ⋯ These abstracts are not subjected to the full peer-review process required of publications in journals. Many of the abstracts presented at the Biennial Meetings of the International Society of Arthroscopy, Knee Surgery and Sports Medicine did not result in a full journal publication. While it is not possible to determine the reason for abstracts failing to lead to journal publications, it is possible that some of these projects did not meet the scientific scrutiny of the peer-review process required for full publication.
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Knee Surg Sports Traumatol Arthrosc · May 2005
ACL reconstruction using bone-patellar tendon-bone press-fit fixation: 10-year clinical results.
Multiple techniques for anterior cruciate ligament (ACL) reconstruction are currently available, most of which use hardware or resorbable material for fixation of the graft inside or outside the bony tunnels. In this study, the long-term results of 95 patients at a mean follow-up of 10.7 years were assessed. The ACL was reconstructed using a patellar tendon autograft with a press-fit fixation. ⋯ This study presents long-term clinical data on a press-fit fixation for ACL reconstruction. Results were excellent and good in more then 80% of the followed patients. The advantages of the press-fit fixation are direct bone-to-bone healing of the graft, decreased donor site morbidity, cost-effectiveness and ease for revision surgery.
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Knee Surg Sports Traumatol Arthrosc · May 2005
Randomized Controlled Trial Clinical TrialSclerosing injections to areas of neo-vascularisation reduce pain in chronic Achilles tendinopathy: a double-blind randomised controlled trial.
Local injections of the sclerosing substance Polidocanol has been demonstrated to give good clinical results in a pilot study on patients with chronic Achilles tendinopathy. In this study, 20 consecutive patients (9 men and 11 women, mean age 50 years) with chronic painful mid-portion Achilles tendinopathy were randomised to injection treatment with either Polidocanol (5 mg/ml) (group A) or Lidocaine hydro-chloride (5 mg/ml) + Adrenaline (5 microg/ml) (group B). Both substances have a local anaesthetic effect, but Polidocanol also has a sclerosing effect. ⋯ In the pain-free tendons, but not in the painful tendons, neo-vascularisation was absent after treatment. After completion of the study, treatment with Polidocanol injections (Cross-over in group B and additional treatments in group A) resulted in 10/10 and 9/10 satisfied patients in group A and B, respectively. In summary, injections with the sclerosing substance Polidocanol have the potential to reduce tendon pain during activity in patients with chronic painful mid-portion Achilles tendinopathy.
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Knee Surg Sports Traumatol Arthrosc · Apr 2005
Full arthroscopic lateral retinacular release with hook knife and quadriceps pressure-pull test: long-term follow-up.
The most important causes of anterior knee pain include patellofemoral malalignment which causes patella-condyle contact anomalies at the patellofemoral joint, excessive patellar lateral pressure increase, trauma and overuse. In this article, besides presentation of late clinical results of 169 lateral retinacular release cases which were surgically treated between January 1995 and December 2002 with the help of a hook knife from the anterolateral portal due to lateral compression syndrome and patellar maltracking, we also described quadriceps tendon pressure-pull test which strongly indicates patellofemoral pain during physical examination of a patient with anterior knee pain. In addition to radiological patellofemoral imaging methods, we describe dynamic arthroscopic patellofemoral joint examination which is applied perarthroscopically to all of our surgically treated patients. ⋯ The most important complication seen in our cases was fibrosis at the site of lateral release, seen in three patients. They were healed without any sequela with local corticosteroid injection into the fibrosis tissue. We did not see any hemarthrosis or haematoma as a complication.
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Knee Surg Sports Traumatol Arthrosc · Mar 2005
Clinical TrialNeovascularisation in chronic painful patellar tendinosis--promising results after sclerosing neovessels outside the tendon challenge the need for surgery.
Sclerosing injections targeting neovascularisation have been demonstrated to give promising clinical results in patients with chronic painful Achilles tendinosis. In this study, fifteen elite or recreational athletes (12 men and three women) with the diagnosis patellar tendinosis/Jumper's knee in 15 patellar tendons were included. All the patients had a long duration of pain symptoms (mean = 23 months) from the patellar tendon, and ultra-sonography + colour doppler examination showed structural tendon changes with hypo-echoic areas and a neovascularisation, corresponding to the painful area. ⋯ At follow-up (mean = 6 months) after a mean amount of three treatments, there was a good clinical result in 12/15 tendons. The patients were back to their previous (before injury) sport activity level, and the amount of pain recorded on a VAS-scale had decreased significantly (VAS from 81 to 10). Our findings indicate that treatment with sclerosing injections, targeting the area with neovessels in patellar tendinosis, has the potential to cure the pain in the tendons and also allow the patients to go back to full patellar-tendon loading activity.