External fixator for treatment of the sub-acute and chronic multi-ligament-injured knee
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| 024 | 7 | 0 | |a 10.1007/s00167-015-3719-0 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-015-3719-0 | ||
| 245 | 0 | 0 | |a External fixator for treatment of the sub-acute and chronic multi-ligament-injured knee |h [Elektronische Daten] |c [Fabio Angelini, Camilo Helito, Marcelo Bonadio, Tales Guimarães, Ronald Barreto, José Pécora, Gilberto Camanho, Roberto da Mota e Albuquerque] |
| 520 | 3 | |a Purpose: To assess whether the use of an articulated external fixator provides improvements in the mobility, stability and subjective function of patients undergoing ligament reconstruction. Methods: Thirty-three patients with sub-acute and chronic knee dislocation were subjected to multi-ligament reconstruction surgery. These patients were randomly allocated to two groups for immobilization after reconstruction: group 0—control (18 patients), with rigid knee bracing, and group 1—articulated external fixator (15 patients). The stability of the reconstructed ligaments was assessed after at least 14months (26.6-month average) postoperatively by physical examination. Deficit of extension and flexion was measured in relation to the unaffected contralateral knee, and the Lysholm knee scoring scale questionnaire was applied. Results: There was no difference in the assessment of joint stability between the groups. In group 1, patients showed less flexion deficit (4.8°±5.4° vs. 18.2°±14.8°, p<0.05), and the percentage of patients with a flexion deficit of 5° or less were higher compared with group 0 (64 vs. 18%, p<0.05). There was no difference between groups in relation to extension loss. Group 1 also presented better Lysholm scores, with 73% of patients rated as excellent or good compared with 35% in group 0 (p<0.05). Conclusions: Compared with the control rehabilitation protocol with rigid knee bracing in extension, the use of an articulated external fixator in the treatment of chronic multi-ligament-injured knees provided the same ligament stability, better final range of motion and improved Lysholm score. Patients presenting with chronic multi-ligament instability should be considered for articulated external fixation to supplement reconstruction procedures. Level of evidence: Randomized controlled trial, Level I. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 | ||
| 690 | 7 | |a Knee dislocation/surgery |2 nationallicence | |
| 690 | 7 | |a Knee dislocation/rehabilitation |2 nationallicence | |
| 690 | 7 | |a Posterior cruciate ligament/injury |2 nationallicence | |
| 690 | 7 | |a Posterior cruciate ligament/surgery |2 nationallicence | |
| 690 | 7 | |a External fixators |2 nationallicence | |
| 690 | 7 | |a Restraints |2 nationallicence | |
| 700 | 1 | |a Angelini |D Fabio |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 700 | 1 | |a Helito |D Camilo |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 700 | 1 | |a Bonadio |D Marcelo |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 700 | 1 | |a Guimarães |D Tales |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 700 | 1 | |a Barreto |D Ronald |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 700 | 1 | |a Pécora |D José |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 700 | 1 | |a Camanho |D Gilberto |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 700 | 1 | |a da Mota e Albuquerque |D Roberto |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 3012-3018 |x 0942-2056 |q 23:10<3012 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-015-3719-0 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-015-3719-0 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Angelini |D Fabio |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Helito |D Camilo |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Bonadio |D Marcelo |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Guimarães |D Tales |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Barreto |D Ronald |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Pécora |D José |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Camanho |D Gilberto |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a da Mota e Albuquerque |D Roberto |u Knee Surgery Division, Department of Orthopedics and Traumatology, University of São Paulo, Rua Dr. Ovídio Pires de Campos, 333, CEP 05403-010, Cerqueira Cesar, São Paulo, SP, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 3012-3018 |x 0942-2056 |q 23:10<3012 |1 2015 |2 23 |o 167 | ||