Fresh osteochondral allografts at the knee joint: good functional results in a follow-up study of more than 15 years

1997 ◽  
Vol 116 (6-7) ◽  
pp. 423-425 ◽  
Author(s):  
M. Salai ◽  
A. Ganel ◽  
H. Horoszowski
1986 ◽  
Vol 35 (1) ◽  
pp. 302-304
Author(s):  
Masazumi Imamura ◽  
Takashi Naono ◽  
Syoji Fujimoto ◽  
Tetsuro Isayama ◽  
Masahiko Ono ◽  
...  
Keyword(s):  

2021 ◽  
Author(s):  
Zhen Li ◽  
Zhenyue Chen ◽  
Xiaotan Wang ◽  
Jingyin Li ◽  
Lizhong Jing ◽  
...  

Abstract Purpose Locking plate or screws have been used for Hoffa fractures; however, evidence to support the effectiveness of the procedure remains scarce. The present study aimed to determine the efficacy of distal femur condyle locking plate(DFCLP)alone or in combination with cannulated screws for Hoffa fractures. Methods In this cohort study, 13 patients with isolated Hoffa fractures were enrolled during the study period (May 2014 to February 2019) and retrospectively analyzed. Patients underwent open reduction and internal fixation by DFCLP alone or in combination with cannulated screws followed by early active rehabilitation postoperatively. The primary outcome was evaluated with Knee Society Score (KSS), the range of movement (ROM), International Knee Documentation Committee (IKDC) scoring system and the stability of the fixation site of the patients during the 24-month follow-up period. Results A total of 13 patients completed the 24-month follow-up assessment and achieve bone re-union at Hoffa fracture sites. The average follow-up period was 24.5months (ranging from 24 to 28 months), and the average time to healing was 3.5 months (ranging from 3 to 4 months). The mean ROM was determined as 119°, the mean KSS was 87.9, and the mean IKDC score was 84.2. It is worth mentioning that 2 patients suffered from knee joint stiffness and osteoarthritis during the 24 months follow-up. Eleven patients (84.6%) achieved satisfactory knee joint function through early postsurgical rehabilitation. Conclusion In patients with Hoffa fractures, treatment with DFCLP alone or in combination with cannulated screws followed by early active rehabilitation resulted in great stability and satisfactory functional results after 24 months.


1994 ◽  
Vol 43 (2) ◽  
pp. 574-579
Author(s):  
Masahiro Kina ◽  
Kenichiro Shibata ◽  
Takuya Tamaru ◽  
Hideyuki Miomo ◽  
Yoichiro Iwamatsu ◽  
...  

Folia Medica ◽  
2014 ◽  
Vol 56 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Stanislav S. Karamitev ◽  
Vladimir P. Stavrev ◽  
Albert G. Chifligarov

ABSTRACT The AIM of this study was to analyse the results of the surgery and compare the outcomes of unicondylar knee arthroplasty and high tibial osteotomy performed in isolated gonarthrosis. PATIENTS AND METHODS: Between 2007 and 2011, 65 patients were implanted a partial knee endo-prosthesis in the Clinic of Orthopedics and Traumatology. Men were 23 (35.4%) and women were 42 (64.6%). High tibial osteotomy was performed to manage the unicompartmental gonarthrosis in 92 patients (47 men and 45 women) for 13 years between 1975 and 1987. These two modalities were used only in cases in which one of the knee joint compartments was affected. Clinical, para-clinical, functional tests and radiographic examination were conducted of the affected knee joint. RESULTS: The results of the study were assessed by the rating system proposed by the Knee Society and modified by John Insall. At four-year follow-up study the outcomes of the partial prosthesis were assessed as excellent in 85.13%, good - in 13.11% and satisfactory in 1.77% of patients. After high tibial osteotomy the results were considered very good in 54.18% of patients, good - in 32.29%, satisfactory - in 6.25%, and poor - in 7.8%. CONCLUSIONS: Partial knee arthroplasty is a resurfacing procedure, while high tibial osteotomy is used only to slow the overall degenerative process with gradual progressive exacerbation of osteoarthritis with age. The results after prosthetic treatment had a better dynamics than that in high tibial osteotomy


1940 ◽  
Vol 112 (3) ◽  
pp. 454-470 ◽  
Author(s):  
L. KRAEER FERGUSON ◽  
WESLEY D. THOMPSON
Keyword(s):  

2021 ◽  
Author(s):  
Zhen Li ◽  
Zhenyue Chen ◽  
Xiaotan Wang ◽  
Jingyin Li ◽  
Lizhong Jing ◽  
...  

Abstract Purpose: Locking plate or screws have been used for Hoffa fractures; however, evidence to support the effectiveness of the procedure remains scarce. The present study aimed to determine the efficacy of distal femur condyle locking plate(DFCLP)alone or in combination with cannulated screws for Hoffa fractures.Methods: In this cohort study, 13 patients with isolated Hoffa fractures were enrolled during the study period (May 2014 to February 2019) and retrospectively analyzed. Patients underwent open reduction and internal fixation by DFCLP alone or in combination with cannulated screws followed by early active rehabilitation postoperatively. The primary outcome was evaluated with Knee Society Score (KSS), the range of movement (ROM), International Knee Documentation Committee (IKDC) scoring system and the stability of the fixation site of the patients during the 24-month follow-up period.Results: A total of 13 patients completed the 24-month follow-up assessment and achieve bone re-union at Hoffa fracture sites. The average follow-up period was 24.5months (ranging from 24 to 28 months), and the average time to healing was 3.5 months (ranging from 3 to 4 months). The mean ROM was determined as 119°, the mean KSS was 87.9, and the mean IKDC score was 84.2. It is worth mentioning that 2 patients suffered from knee joint stiffness and osteoarthritis during the 24 months follow-up. Eleven patients (84.6%) achieved satisfactory knee joint function through early postsurgical rehabilitation.Conclusion: In patients with Hoffa fractures, treatment with DFCLP alone or in combination with cannulated screws followed by early active rehabilitation resulted in great stability and satisfactory functional results after 24 months.


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