RESUMO
We present a new method of treatment of chondral defects of the knee with the usage of carbon fibers. The prospective study describes experience with carbon fibers used as scaffolds in the drilled lesions to enhance ingrowth of regenerative tissue. We treated 35 patients for chondral defects with that method from December 93 to June 97. Average age was 46 years (range, 19-68 years) and average follow-up was 48 months (range, 24-55 months). The results were assessed by HSS knee scale, the Wallgren-Tegner activity score, VAS (visual analogue scale to measure pain) and patients assessment of the surgery. Twenty-five (71%) of 35 patients were rated good or excellent. The most striking result was good pain relief. Early follow-up results are good, but these must be confirmed in long-term observations.
Assuntos
Materiais Biocompatíveis , Carbono , Cartilagem Articular/cirurgia , Articulação do Joelho/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/cirurgia , Osteocondrite Dissecante/cirurgia , Osteonecrose/cirurgia , Estudos ProspectivosRESUMO
It is commonly assumed that the anterior crucial ligament is injured most often from all ligaments of the knee. Complexity of the structure and function of the whole capsular-ligamentous system of the knee makes the operative treatment extremely difficult. In the light of the contemporary views the problems concerning the treatment of the failure of the anterior crucial ligament belong to the main orthopedic problems requiring solution.
Assuntos
Lesões do Ligamento Cruzado Anterior , Ligamento Cruzado Anterior/cirurgia , Humanos , Traumatismos do Joelho/prevenção & controle , Traumatismos do Joelho/reabilitaçãoAssuntos
Osteoporose/diagnóstico , Sínfise Pubiana , Transtornos Puerperais/diagnóstico , Adulto , Feminino , Humanos , GravidezRESUMO
The authors have analyzed the results of 570 cases of knee arthroscopy performed in 1974-1987, which included 441 diagnostic and 129 operative arthroscopies. The greatest diagnostic group consisted from 163 cases of suspicion of meniscus injury. Chondromalacia of the patella was the reason for arthroscopy in 53 cases. The importance of joint clinical and arthroscopic examination has been stressed.
Assuntos
Artroscopia/métodos , Doenças das Cartilagens/diagnóstico , Traumatismos do Joelho/diagnóstico , Humanos , Patela , Lesões do Menisco TibialRESUMO
The authors have presented descriptions of posttraumatic changes, congenital defects, developmental, inflammatory and metabolic disorders included in the scripts of the Old Testament. Proficiency of ancient physicians is emphasised, they were greatly respected and regarded as a tool in Creator's hands.