ABSTRACT
In the years 1977 to 1984, 56 patients underwent primary suture of acutely ruptured cruciate ligaments. Thirty-six (64.3 per cent) were regarded as excellent or good results and 20 (35.7 per cent) were regarded as fair or poor results. It is concluded that this is a satisfactory method of treatment and that this will reduce the number needing a late reconstructive operation.
Subject(s)
Knee Injuries/surgery , Ligaments, Articular/injuries , Humans , Joint Instability/etiology , Knee Injuries/physiopathology , Ligaments, Articular/surgery , Movement , Postoperative Complications , Prognosis , RuptureABSTRACT
The Insall-Salvati (5) method of assessing the position of the patella was applied to 247 male patients made up from five different groups. Three of the groups were Greeks with normal knees (45 patients), knees already operated on for chondromalacia patellae (36 patients) and knees with a clinical diagnosis of chondromalacia patellae (57 patients). The other two groups comprised 58 African negroes and 51 Arabs, in all of whom a clinical diagnosis of chondromalacia patellae had been made. The ratio of the length of the patella to the length of the patellar tendon in the Greeks was 0.982 in the normal knees, 0.96 in the knees after operation and 0.971 in the knees with clinical chondromalacia. The ratio in Africans was 0.904 and in Arabs 0.929. Patella alta was found in 50% of the Greeks who had had operation or clinical chondromalacia, but it was more frequent in the Africans (74.1%) and the Arabs (68.6%). This difference is statistically significant (p less than 0.01 and p less than 0.05 respectively).
Subject(s)
Cartilage Diseases/pathology , Patella , Adolescent , Adult , Cartilage Diseases/etiology , Cartilage, Articular , Ethnicity , Humans , Male , Patella/pathology , PhylogenyABSTRACT
We have studied the findings at operation of 336 knees with a preoperative diagnosis of a meniscus lesion. In 146 knees operated on by three surgeons, after a detailed history and clinical assessment, the findings confirmed the preoperative diagnosis in 116 knees (79.5 per cent). In 47 knees operated on after double contrast arthrography, the diagnosis was confirmed in 43 knees (91.5 per cent). In 50 knees operated on after a study of the instant centre of pathway, the diagnosis was confirmed in 45 knees (90 per cent). We found an improvement of preoperative diagnosis of up to 95.5 per cent when the combination of instant centre of pathway and arthrography were positive in 89 out of 93 knees.
