Surgery and Arthroscopy of the Knee: First European Congress of Knee Surgery and Arthroscopy Berlin, 9–14. 4. 1984 PDF
Preview Surgery and Arthroscopy of the Knee: First European Congress of Knee Surgery and Arthroscopy Berlin, 9–14. 4. 1984
Surgery and Arthroscopy of the Knee First European Congress of Knee Surgery and Arthroscopy Berlin, 9-14.4.1984 Edited by E. L. Trickey and P. Hertel With 215 Figures and 58 Tables Springer-Verlag Berlin Heidelberg New York London Paris Tokyo E. L. Trickey, FRCS Institute of Orthopaedics Royal National Orthopaedic Hospital Brockley Hill Stanmore, Middlesex, HA7 4LP, U. K. Professor Dr. Peter Hertel Rudolph-Virchow-Krankenhaus Augustenburger Platz 1, 1000 Berlin, FRG ISBN-13: 978-3-642-71024-7 e-ISBN-13: 978-3-642-71022-3 DOl: 10.1007/978-3-642-71022-3 Library of Congress Cataloging-in-Publication Data. Surgery and arthroscopy of the knee. 1. Knee - Surgery. 2. Arthroscopy. 3. Artificial knee. 4. Knee - Surgery - Patients - Re habilitation. I. Trickey. E. L. (Edward Lorden), 1920-- . II. Hertel, Peter. [DNLM: 1. Arthroscopy. 2. Cartilage, Articular - surgery. 3. Knee Injuries - surgery. 4. Knee Joint-physiology. 5. Knee Prosthesis. 6. Ligaments, Articular - surgery. We 870 S9608] RD561.S85 1986 617'.582059 86-13745 ISBN-13: 978-3-642-71024-7 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under §54 of the German Copyright Law, where copies are made for other than private use a fee is payable to 'Verwertungsgesellschaft Wort', Munich. © Springer-Verlag Berlin, Heidelberg 1986 Softcover reprint of the hardcover 1st edition 1986 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Typesetting: BrOhlsche Universitatsdruckerei, Giessen Offsetprinting: Saladruck, Berlin. Bookbinding: LOderitz & Bauer, Berlin 2124/3020-543210 Preface This book is a record of the papers read at the first meeting of the European Society of Knee Surgery and Arthroscopy (ESKA). This was held in the magnificent International Congress Centre (ICC) in West Berlin. Planning for the inaugural meeting of a proposed large society is inevitably fraught with problems and doubts. However, thanks to the tremendous assistance given by the ICC organization and to the participation of so many orthopaedic surgeons from Europe and all over the world the society had a very successful meeting, and it is fitting that the papers are collected together in this book as a permanent record. Various factors combined to delay the appearance of the book until now, shortly before the second ESKA meeting (1986) in Basle. We should like to take this opportunity of thanking Springer-Verlag for all the hard work involved in ensuring that the book was finished before this occasion and while the subject matter is still so topical. The knee joint is exceptionally important in various ways. This joint connecting the long bones of femur and tibia is particularly prone to injury, but at the same time it is vital for it to be in good working order, and not onlyfor athletes. It is essential for balance and mobility, which in turn are fundamental to financial and social independence in older people and all working people. This is also reflected in the considerable sums expended by our social security and health insurance systems on the treatment of knee injuries and on disability pensions payable as a result of knee injuries. It is therefore incumbent upon us to coordinate our scientific endeavours without allowing ourselves to be restricted to our own national societies; such international congresses in Europe allow us to pool our knowledge so that information on the advances made can be disseminated more quickly, to the ultimate benefit of the patients. August 1986 E. L. Trickey, Stanmore We. MOiler, Basle P. Hertel, Berlin V Name List of Authors Abbink EP Dive JM Hertel P Ackroyd CE Drobny TK Hillen B Aglietti P Dupont JY Holzheimer R Aigner R Dumont P Hoogland T Albrektsson B Ecke H Horterer H Alho A Edixhoven Ph Huiskes R Ali MS Eickhoff W Hungerford DS Arms S Engesaeter L v. Hussen FAJ Arvidsson-Johansson I Eriksson E Hutton P Aubaniac JM Feagin lusim M Aubriot JH Fabbriciani C Jackson A de Baere GAJ Feldkamp G Jackson RW Baily RAJ Fonda G Jager M Bandi W Franceschi JP Janssen G Bannister GC Franke K Jensen J Bauer M Freeman MAR Johnson R Baumgartner R Gaechter A Johnson DP Behfar AS Gallai V Junger CH BenazetJP Galanis J Junker v.d. Berg A Gaudernak T Kalbe P Blankevoort L Geesinck RGT Karpf PM Blauth W Georgoulis A Kayser M Boe S Giebel G de Keizer G Bopp P Gillquist J Kemp HBS Borg G Gorecki A Kieser CH Braun W Gradinger R Klein W BOhlmann H Graf HJ Klemann T Burri C Gschwend N Knutsson E Buzzi R Hackenbruch W Kolzer D Canata GL Haggmark T Kolb M Cardoso T Hager D Korisek G Casolo F Hahn M Krackow K Cerulli G Hamberg P Kramer FJK Chaix C Hardinger K Kus W Giuccarelli Hassenpflug J Kuyper W Claes L Hauspal Lais E Constantinides C Hehne HF de Lange A Contzen H Heinert K Lauritzen J Crawford RJ Hempfling H Legre G Cusimano S Hepp WR Lerat JL De Santis E Herberts P Leyshon A VII Lim TE Parker J Scharf W Lindberg U Pass I R Scheier H van den Linden AJ Paul B Schmid R Livingstone B Perren SM Schmidt JM Lysholm J Perugia L Schmidt MA Mailaender C Peterson L Schmiebusch H Mang W Pf6rringer W Schreiber A Mann M Pieper Schulitz Kp Maquet P Pietrogrande V Schultheis KH Mariani PP Pisaneschi A Seiler H Marti R Piscopakis N Shatwell M Mason J Pitman MI Siegel A Mazotta G Pokorny V Simonsen Menachem A Pope M Skredderstuen A Menche OS Poster Skorpik G Mendes OG Pozo JL Sioof TJJH Meyrat R Prahl R Soudry M Meystre JL Pudden Steiger U Milachowski KA Raugstadt TS Strand T Miremad Ch Recanatini L Tarquini C Mitsou A Refior HJ Tegner Y Mockwitz J Regan J Tosca L Moister AO Rehder U Trickey EL Motta F Rehm K Tscherne H Mukherjee SK van Rens Th JG Tsemanis V MOiler KH Rether JR Ulivi M MOiler W Robinson MP Vallatta A MOiler-Farber J Rodriguez M Wagner M MOnch EO Rofman R Weber J Munzinger U Roffman M Weh L Murphy JC Rogge OH Weigert M Neugebauer R Roy-Camille R Weinel P Niedermann B Rubak JM Weismeier K Noesberger B ROter A Wentzensen Nordin.M Sachler A Werhahn Odensten M Sagstetter C Wirth CJ Oestern HJ Saillant G Wyss U Ogilvie-Harris '0 Salomon Z Zander C Older J Samuelson KM Zeegers FJB Oransky M Sandt A Zifko B Panni Schiavone P Savoldi E Papadelis P Schabus R VIII Table of Contents Biomechanics Epidemiology of knee joint injuries K. Franke . .......... . 3 The biomechanics of anterior cruciate ligament rehabilitation and reconstruction I. Arvidsson, S. Arms, E. Eriksson, R. J. Johnson and M. Pope 4 In vitro measurement of stress and strain in knee ligaments under various load and position conditions L. Glaes and R. Schmid. . . . . . . . . . . . . . . .. 5 The functional anatomy of the knee joint - kinematics of the ligaments U. Rehder. . . . . . . . . . . . . . . . . . . . . .. 6 The three-dimensional freedom-of-motion characteristics of the human knee joint R. Huiskes, A. de Lange and L. Blankevoort. . . . . . . 7 An instrument for quantitative clinical evaluation of the AP drawer in the knee joint P. Edixhoven, R. Huiskes, T. J. G. van Rens and T. J. J. H, Siooff . . . . . . . . . . . . . . . . . . . 9 Radiological assessment of tibial torsion in relation to knee instability J. L. Meystre. . . . . . . . . . . . . . . . . . . . .. 11 Pes anserinus transfer according to Slocum: new biomechanical concepts and indications for surgery A. Val/atta, F. Gasolo, V. Pietrogrande and F. Motta . . 12 Biomechanics of the patello-femoral joint under normal conditions and after transfers of the tuberositas tibiae H. J. Hehne . . . . . . . . . . . . . . . . . . . . 18 Chondromalacia of the knee joint - principles of medical and surgical treatment K. Franke . . . . . . . . . . . . . . . . . . . . . .. 20 IX Articular Cartilage Stress response of articular cartilage R. G. T. Geesink . . . . . . . . . . .. 23 Diagnosis and therapy of acute articular cartilage injuries D. H. Rogge and J. R. Rether . . . . . . . . . . . . . . . 25 Repair of articular cartilage A. J. van der Linden . . . . ..... 27 Articular cartilage lesions of the femoral condyles M. Bauer, R. W. Jackson and D. Ogilvie-Harris. . . . . 31 Clinical experiences with the use of fibrin sealant in the treatment of osteochondral fractures in the knee T. Gaudernak, G. Skorpik and B. Zitko . . . . . . . . . . . 37 Bone canal drilling in chondropathy C. Zander. . . . . . . . . . . . . . . . . . . . . . . . 41 Free periosteal grafts in human knee joints using Fibrinkleber Human Immuno B. Niedermann, S. Boe, J. Lauritzen and J. M. Rubak. . . . . 46 Biomechanical aspects of the pathogenesis of osteochondritis dissecans (Koenig) W. Bandi . . . . . . . . . . . . . . . . . . . . . 47 Allogenous cartilage transplantation in the treatment of osteochondrosis dissecans. Technique and results D. H. Rogge and P. Kalbe. . . . . . . . . . . . .. .. 51 On the operative treatment of osteochondrosis dissecans - longer term arthroscopic follow up W. Blauth and M. Mann. . . . . . . . . . . . . . . . 53 Experimental model for chondrocyte transplantation in rabbits D. S. Menche, M. I. Pitman and L. Peterson . . . . . . 54 Total knee replacement using an osteochondral allograft in baboons M. Roffman . . . . . . . . . . . . . . . . . . . . . . . 55 x Arthroscopy Arthroscopy and arthroscopic meniscal surgery in ligament instability P. P. Mariani, G. Puddu and L. Perugia . . . . . . . . . . . 59 Arthroscopy under local anaesthesia T. Hoogland, G. A. J. de Baere and F. J. B. Zeegers . . . . . 61 Day case arthroscopy J. Older and T. Cardoso. . ........ 62 The place of arthroscopy in sports injuries S. K. Mukherjee and J. Regan . . . . . . . 63 Arthroscopy: original experience of a university department which trains young surgeons J. L. Meystre. . . . . . . . . . . . . . . . . . . . .. 70 Knee function after arthroscopic meniscectomy. A prospective study P. Hamberg and J. Gillquist . . . . . . . . . . . . . . 71 Comparison of the results of open and arthroscopic partial meniscectomy in gas, performed by the same surgeons T. Klemann, M. Hahn and M. Weigert. . . . . . . . . . . . 72 Arthroscopic failures: complications and prevention. Second time arthroscopic evaluation: A retrospective study J. L. Mason, Jr. . . . . . . . . . . . . . . . . . . 73 Cartilaginous lesions following medial arthroscopic meniscectomy E. Lais, P. Hertel and A. Georgoulis . . . . . . . . . 77 Complications of arthroscopy S. Saillant, J. P. Benazet and R. Roy-Camille . . . . . . . . 80 Arthroscopy of children's knee-joints: its indication and results A. S. Behfar and H. J. Refior. . . . . . . . . . . . . . . . 81 The medial shelf: an anatomical, clinical and pathological study J. Older, R. Hanspal and T. Cardoso . . . . . . . . . . . . 82 The medial shelf of the knee: a follow-up study W Klein. . . . . . . . . . . . . . . . . . . . . . . . . 87 XI Menisci Classification of meniscal tears: therapeutic implications J. Y. Dupont . . . . . . . . . . . . . . . . . . . . 91 The repair of meniscus lesions by synovial flaps: experimental study C. Fabbriciani, A. Schiavone-Panni and M. Oransky . 96 Suture of fresh and old meniscal tears - animal experiments and clinical results C. J. Wirth, K. A. Milachowski and K. Weismeier. . . .. . 101 Meniscus sutures for old tears - Report on over 100 cases M. Rodriguez and A. Schreiber . . . . . . . . . . . . . . 102 Meniscus repair P. M. Karpf, C. Sagstetter and R. Aigner ..... 109 Partial resection of the discoid meniscus of the knee P. Papa delis and V. Tsemanis . . . . . . .. ..... 111 Recurrent operation on the knee joint - reasons and consequences K. Franke and B. Paul . . . . . . . . . . . . . 112 Meniscectomy by mini-arthrotomy under local anaesthesia A. Gachter. . . . . . . . . . . . . . . . . . . . . . . . 113 Anterior Cruciate ligaments Clinical findings in acute anterior cruciate ligament ruptures: correlation with experimental data P. Hertel . . . . . . . . . . . . . . . . . . . . . .. 119 Acute diagnosis and treatment in post-traumatic haemarthrosis G. de Keizer . ...................... 126 The influence of haemarthrosis of the knee joint on the cruciate ligaments W Pforringer . . . . . . . . . . . . . . . . . . . . . . 130 Surgical or conservative treatment of the acutely torn anterior cruciate ligament; a randomized study with a short-term follow-up M. Odensten, P. Hamberg, M. Nordin, J. Lysholm and J. Gillquist 131 Isolated lesion of the anterior cruciate ligament M. Weigert and C. Werhahn ................ 132 XII
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