Vorderer Kreuzbandersatz mit der Semitendinosussehne bei Kindern

Schneider, Frank; Kraus, Tanja; Linhart, Wolfgang E.

doi:10.1007/s00064-008-1412-x

Cited by 17 publications

(2 citation statements)

References 19 publications

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“…Simultaneous ACL reconstruction was performed in the presence of an intraligamentous rupture by an arthroscopy-assisted transphyseal technique (Schneider et al 2008) using free hamstring graft fixed with a biodegradable interference screw (Biosure HA; Smith and Nephew, Austria).…”

Section: Methodsmentioning

confidence: 99%

Outcome of repaired unstable meniscal tears in children and adolescents

Kraus¹,

Heidari²,

Švehlík³

et al. 2012

Acta Orthopaedica

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BackgroundUnstable meniscal tears are rare injuries in skeletally immature patients. Loss of a meniscus increases the risk of subsequent development of degenerative changes in the knee. This study deals with the outcome of intraarticular meniscal repair and factors that affect healing. Parameters of interest were type and location of the tear and also the influence of simultaneous reconstruction of a ruptured ACL.MethodsWe investigated the outcome of 25 patients (29 menisci) aged 15 (4–17) years who underwent surgery for full thickness meniscal tears, either as isolated lesions or in combination with ACL ruptures. Intraoperative documentation followed the IKDC 2000 standard. Outcome measurements were the Tegner score (pre- and postoperatively) and the Lysholm score (postoperatively) after an average follow-up period of 2.3 years, with postoperative arthroscopy and MRT in some cases.Results24 of the 29 meniscal lesions healed (defined as giving an asymptomatic patient) regardless of location or type. 4 patients re-ruptured their menisci (all in the pars intermedia) at an average of 15 months after surgery following a new injury. Mean Lysholm score at follow-up was 95, the Tegner score deteriorated, mean preoperative score: 7.8 (4–10); mean postoperative score: 7.2 (4–10). Patients with simultaneous ACL reconstruction had a better outcome.InterpretationAll meniscal tears in the skeletally immature patient are amenable to repair. All recurrent meniscal tears in our patients were located in the pars intermedia; the poorer blood supply in this region may give a higher risk of re-rupture. Simultaneous ACL reconstruction appears to benefit the results of meniscal repair.

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Section: Methodsmentioning

confidence: 99%

Outcome of repaired unstable meniscal tears in children and adolescents

Kraus¹,

Heidari²,

Švehlík³

et al. 2012

Acta Orthopaedica

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“…Bei rein intraligamentären Kreuzbandrupturen im Kindesalter, die aufgrund von sportlichen Aktivitäten, Rasanztraumen und einer besseren Diagnostik (MRT) häufiger behandelt werden müssen als noch vor ein paar Jahren angenommen, wird heute schon frühzeitig bei objektiver und subjektiver Instabilität ein operativer Ersatz empfohlen, um Folgeschäden wie Meniskusrisse zu vermeiden. Die Technik mit der Semitendinosussehne und möglichst geringer Fugentraumatisierung wird in einer Arbeit von Schneider et al [7] vorgestellt.…”

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