Das Kniegelenk

Jonasch, E

doi:10.1515/9783110841824

Cited by 31 publications

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“…Kannus and JSrvinnen [12] found osteoarthritis at 8-year follow-up in 70% of their patients with complete ACL rupture and in 15% of the group with partial rupture. Egund and Frid6n [5] reported greater degeneration in severe cases of instability than in milder cases [11].…”

Section: Discussionmentioning

confidence: 96%

“…OAK score [19] and IKDC score [1]. The grade of degenerative osteoarthritis as visible in the preoperative X-ray and the X-rays at the last follow-up was determined according to the grading scale of Holz [8] (Table 2), modification of the scales of Jonasch [11] and Mohing [18] and according to the IKDC score (Table 3) by a radiologist and a trauma surgeon (neither involved in the operation and neither aware of the findings of the other). The average radiological follow-up was 41.2 months for the whole group (37.3 months for patients with acute rupture and 46.7 months for those with chronic instability).…”

Section: Follow-upmentioning

confidence: 99%

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Which factors influence the progression of degenerative osteoarthritis after ACL surgery?

Küllmer

Letsch

Turowski

1994

Knee Surg, Sports traumatol, Arthroscopy

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The knee radiographs of 77 patients were examined by two physicians not involved in the operation a mean of 41.2 months after implantation of a synthetic ligament (Trevira hochfest). They evaluated the increase of degenerative osteoarthritis on a five-grade scale (0-4) by Jonasch and Mohing as modified by Holz, and using the IKDC score. Fifty patients with acute rupture had the synthetic ligament implanted for protection of anterior cruciate repair. Twenty-seven patients had a salvage procedure with the alloplastic ligament functioning as a prosthesis. Both examiners found a statistically significant increase of degenerative arthritis. Patients with acute anterior cruciate tears had a lower degree of osteoarthritis on the day of surgery compared to the patients with chronic insufficiency, but the postoperative increase was identical in both groups. Statistical analysis revealed correlations between osteoarthric changes and several factors such as concomitant meniscus or posterior cruciate injury and demonstrated no correlation to the grade of postoperative stability or injuries to the medial or lateral collateral ligaments or capsule.

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Section: Discussionmentioning

confidence: 96%