Of these patients, 122 were available for follow-up examinations, on average 5.9 years (range 2.2-12.3 years) after the original injury. The operative procedure was carried out as described by Kirchmayr in 19176 utilizing non-resorbable suture material in all instances. This group consisted of 15 women and 107 men with an average age of 41.1 years (range 22.0-74.0 years).Postoperatively, the affected extremity was immobilized for 2 weeks in an long-leg cast in 300 of plantar flexion in the ankle, which was then reduced to 150 for the second two week period. For the final 2 weeks of a 6 week immobilization period a short-leg walking cast in neutral position was applied. For the following 3 months a heel elevation of 1.5 cm was prescribed. A programme of physical therapy was only necessary in isolated instances.Of the 122 patients available for follow-up examinations, 50 also completed a questionnaire concerning the subjective results. An ultrasound examination using the Siemens Sonolinee model with a 5.0 Mhz linear transducer was carried out on 71 patients (9 women, 62 men; average age 44 years). The examination was performed with the ankle in a neutral position. The classification of the internal structure of the Achilles tendon was carried out using a modification of the Thermann model3 and the 121
As part of a retrospective study, 76 patients with acute tears of the anterior cruciate ligament who underwent reinsertion and augmentation with the semitendinosus tendon were examined. The follow-up took place on average 4.5 years (range 3-7 years) after surgery. A decreased range of motion upon comparison with the uninjured opposite side was seen in 43 patients. The Lachman test revealed a grade 1 instability in 42 patients, grade 2 in 17 and grade 3 in 2, while 15 patients had a negative test result. The average Lysholm score was 92 points and the Tegner activity score had an average of 7.1 points. KT-1000 measurements showed an identical degree of anterior translation for both knees at 89 N in 25 individuals. The analysis revealed a difference of 2 mm in 15 patients, 4 mm in 19,6 mm in 15 and greater than 6 mm in 2. The radiographic follow-up examination revealed a deterioration of the degenerative change of 1 deg in 17 patients and 2 deg in 4 patients. Isometric testing showed no loss in flexion strength of the operated knee joints compared to the healthy opposite side. The ratio between flexion and extension strength was also identical for both knees. The reinsertion and augmentation with a single strand of semi-tendinosus tendon is not, as this study demonstrates, the appropriate reconstructive technique for the majority of ACL tears.
The authors report on a case of tumoral calcinosis of the ischium in a 63-year-old female. By means of this particular case a general review of the literature on pathogenesis, histological characteristics, the possible way of treatment and the prognosis of tumoral calcinosis is presented.
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