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Achsenfehlstellung, Knorpelschaden und Kreuzbandruptur — Begleiteingriffe bei der VKB-Plastik

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Kniechirurgie in der Praxis

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Zusammenfassung

Die Behandlung einer Knieinstabilität bei VKB-Ruptur durch eine Kreuzbandplastik beim jungen aktiven Patienten ist in den meisten Zentren mittlerweile etabliert. Neben der Beseitigung der für die Patienten subjektiv störenden Instabilität und häufig Sportunfähigkeit haben zahlreiche Studien auf die Entstehung von Meniskus- und Knorpelschäden bei Kreuzband-defizienten chronisch instabilen Kniegelenken hingewiesen [11, 18, 20]. Das Ziel der VKB-Plastik in diesem Zusammenhang ist langfristig die Vermeidung der Gonarthrose, die sekundär langfristig eben auf dem Boden von Meniskusläsionen mit folgender Meniskusresektion oder Knorpelschäden entsteht [20, 25].

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Literatur

  1. Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331: 889–895

    Article  PubMed  CAS  Google Scholar 

  2. Bruns J, Volkmer M, Luessenhop S (1993) Pressure distribution at the knee joint. Influence of varus and valgus deviation without and with ligament dissection. Arch Orthop Trauma Surg 113: 12–19

    Article  PubMed  CAS  Google Scholar 

  3. Burkart A, Imhoff AB (2000) Diagnostic imaging after autologous chondrocyte transplantation. Correlation of magnetic resonance tomography, his- tological and arthroscopic findings. Orthopade 29: 135–144

    PubMed  CAS  Google Scholar 

  4. Coventry MB (1973) Osteotomy about the knee for degenerative and rheumatoid arthritis. J Bone Joint Surg (Am) 55: 23–48

    CAS  Google Scholar 

  5. Dejour H, Neyret P, Boileau P, Donell ST (1994) Anterior cruciate reconstruction combined with valgus tibial osteotomy. Clin Orthop

    Google Scholar 

  6. Durselen L, Claes L, Kiefer H (1995) The influence of muscle forces and external loads on cruciate ligament strain. Am J Sports Med 23: 129–136

    Article  PubMed  CAS  Google Scholar 

  7. Fleming BC, Renstrom PA, Beynnon BD, Engstrom B, Peura G (2000) The influence of functional knee bracing on the anterior cruciate ligament strain biomechanics in weightbearing and nonweightbearing knees. Am J Sports Med 28: 815–824

    PubMed  CAS  Google Scholar 

  8. Hassenpflug J, von Haugwitz A, Hahne HJ (1998) Long-term results of tibial head osteotomy. Z Orthop Ihre Grenzgeb 136: 154–161

    Article  PubMed  CAS  Google Scholar 

  9. Imhoff AB, Burkart A, Ottl GM (1999) Transfer of the posterior femoral condyle. First experience with a salvage operation. Orthopade 28: 45–51

    PubMed  CAS  Google Scholar 

  10. Imhoff AB, Ottl GM, Burkart A, Traub S (1999) Autologous osteochondral transplantation on various joints. Orthopade 28: 33–44

    PubMed  CAS  Google Scholar 

  11. Jacobsen K (1977) Osteoarthrosis following insufficiency of the cruciate ligaments in man. A clinical study. Acta Orthop Scand 48: 520–526

    Article  PubMed  CAS  Google Scholar 

  12. Jomha NM, Borton DC, Clingeleffer AJ, Pinczewski LA (1999) Long-term osteoarthritic changes in anterior cruciate ligament reconstructed knees. Clin Orthop

    Google Scholar 

  13. Korovessis P, Katsoudas G, Salonikides P, Stamatakis M, Baikousis A. (1999) Medium- and long-term results of high tibial osteotomy for varus gonarthrosis in an agricultural population. Orthopedics 22: 729–736

    PubMed  CAS  Google Scholar 

  14. Lattermann C, Jakob RP (1996) High tibial osteotomy alone or combined with ligament reconstruction in anterior cruciate ligament-deficient knees. Knee Surg Sports Traumatol Arthrosc 4: 32–38

    Article  PubMed  CAS  Google Scholar 

  15. Lerat JL, Moyen B, Garin C, Mandrino A, Besse JL, Brunet-Guedj E (1993) Anterior laxity and internal arthritis of the knee. Results of the reconstruction of the anterior cruciate ligament associated with tibial osteotomy. Rev Chir Orthop Reparatrice Appar Mot 79: 365–374

    PubMed  CAS  Google Scholar 

  16. Lobenhoffer P (1999) Chronic instability after posterior cruciate ligament injury. Tactics, techniques, and results. Unfallchirurg 102: 824–838

    Article  PubMed  CAS  Google Scholar 

  17. McDaniel WJ Jr, Dameron TB Jr (1980) Untreated ruptures of the anterior cruciate ligament. A follow-up study. J Bone Joint Surg (Am) 62: 696–705

    Google Scholar 

  18. McDaniel WJ Jr, Dameron TB Jr (1983) The untreated anterior cruciate ligament rupture. Clin Orthop

    Google Scholar 

  19. McKellop HA, Sigholm G, Redfern FC, Doyle B, Sarmiento A, Luck JV Sr (1991) The effect of simulated fracture-angulations of the tibia on cartilage pressures in the knee joint. J Bone Joint Surg (Am) 73: 1382–1391

    CAS  Google Scholar 

  20. Neyret P, Donell ST, Dejour H (1993) Results of partial meniscectomy related to the state of the anterior cruciate ligament. Review at 20 to 35 years. J Bone Joint Surg Br 75: 36–40

    PubMed  CAS  Google Scholar 

  21. Noyes FR, Barber SD, Simon R (1993) High tibial osteotomy and ligament reconstruction in varus angulated, anterior cruciate ligament-deficient knees. A two- to seven-year follow- up study. Am J Sports Med 21: 2–12

    Article  PubMed  CAS  Google Scholar 

  22. Noyes FR, Barber-Westin SD, Hewett TE (2000) High tibial osteotomy and ligament reconstruction for varus angulated anterior cruciate ligament-deficient knees. Am J Sports Med 28: 282–296

    PubMed  CAS  Google Scholar 

  23. O’Neill DF, James SL (1992) Valgus osteotomy with anterior cruciate ligament laxity. Clin Orthop

    Google Scholar 

  24. Peterson L, Minas T, Brittberg M, Nilsson A, Sjogren-Jansson E, Lindahl A (2000) Two- to 9-year outcome after autologous chondrocyte transplantation of the knee. Clin Orthop

    Google Scholar 

  25. Roos H, Lauren M, Adalberth T, Roos EM, Jonsson K, Lohmander LS (1998) Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years, compared with matched controls. Arthritis Rheum 41: 687–693

    Article  PubMed  CAS  Google Scholar 

  26. Roscher E, Martinek V, Imhoff AB (1998) Anterior cruciate ligament-plasty and high valgus tibial osteotomy as a combined procedure in anterior instability and varus deviation. Zentralbl Chir 123: 1019–1026

    PubMed  CAS  Google Scholar 

  27. Williams RJ III, Wickiewicz TL, Warren RF (2000) Management of unicompartmental arthritis in the anterior cruciate ligament-deficient knee. Am J Sports Med 28: 749–760

    PubMed  Google Scholar 

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Authors
  1. J. D. Agneskirchner
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  2. A. Burkart
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  3. A. B. Imhoff
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Editor information

Editors and Affiliations

  1. Orthopädisch-traumatologische Abteilung, Kantonsspital Baden, 5404, Baden, Schweiz

    Rainer-Peter Meyer

  2. Klinik für orthopädische Chirurgie, Kantonsspital St. Gallen, 9007, St. Gallen, Schweiz

    André Gächter

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© 2002 Springer-Verlag Berlin Heidelberg

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Agneskirchner, J.D., Burkart, A., Imhoff, A.B. (2002). Achsenfehlstellung, Knorpelschaden und Kreuzbandruptur — Begleiteingriffe bei der VKB-Plastik. In: Meyer, RP., Gächter, A. (eds) Kniechirurgie in der Praxis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56361-4_7

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  • DOI: https://doi.org/10.1007/978-3-642-56361-4_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62618-0

  • Online ISBN: 978-3-642-56361-4

  • eBook Packages: Springer Book Archive

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