Knees in 150 patients with the old disruption of the anterior cruciate ligament (ACL) and a certain degree of anterolateral rotational instability have been arthroscopically analyzed. The complete old disruption of ACL has been found in 130 (86.6%) patients, and a partial one in 20 (13.4%) patients. The degenerative changes of the inner femoral condylus have been present in 79 (52.6%) and of lateral femoral condylus in 14 (9.3%) patients. In 35 (23.3%) patients there has been the simultaneous disruption of both menisci. The isolated disruption of medial meniscus has been found in 44 (29.3%), and of the lateral one in 43 (28%) patients. The knee with disruption of meniscus has been found in 122 (81.3%) patients.

Adult↗

PubMedDate not supplied

[Diagnostic arthroscopy of the knee and its use in meniscus surgery].

The results of 1000 diagnostic knee arthroscopies are presented. The clinical diagnosis of meniscus tear was established in 740 (74%) patients. This diagnosis was arthroscopically confirmed in 431 (58.2%) patients only. Other pathologic states of the knee were clinically diagnosed in 260 (26%) patients. In this group of patients the meniscus tear was found by arthroscopy in 41 (15.7%) patients. Complications developed in 11 (1.1T%) of all operated patients.

Adolescent↗

PubMedDate not supplied

[Early results of arthroscopic meniscectomy of the knee].

The results of 218 arthroscopic meniscectomies of the knee in 200 patients are reported. There were 188 men and 12 women. There have been performed 141 medial, 41 lateral and 18 bilateral meniscectomies. The tear in the form of "bucket handle" was dominated and it was found in 140 cases of which 76 were incarcerated. The postoperative hospitalization lasted 1 to 3 days. No infections of arthroscopic operative wounds were found. Three synovitis with effusions were found.

Adult↗

PubMedDate not supplied

[Possibility to shorten the treatment of the newly detected patients with tuberculosis through continuous and intermittent application of rifampicin, myambutol and isoniasid (author's transl)].

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Antitubercular Agents↗

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[Pigmented villonodular synovitis--analysis of 50 patients].

Fifty patients with pigmented villonodular synovitis (PVNS) were examined and treated in the Military Medical Academy in twenty-year period (1977-1996). Among them, 32 were male and 18 female (2:1), of average age from 6 to 72 years. Articular disease localization was 2.5 times more frequent compared to the non-articular. The rate of circumscribed in relation to diffuse form was 1.5:1. The ankle joint was most frequently involved (94%). In one patient, PVNS was proved in both ankle joints. The disease was clinically expressed as chronic, and 4 times more frequently as chronic recurrent synovitis. The data of previous injury were known in 14 patients. Associated rheumatic disease or injury was found in more than a half patients (53%). For the disease diagnosis there were used: physical examination, standard laboratory tests, radiography, ultrasonographic and magnet resonance examination and histopathologic examination of synovia obtained by open or arthroscopic biopsy. Surgical methods, such as total or partial synovectomy were applied in the therapy. Chemical synovectomy was performed in one patient, 6 months after the diagnostic arthroscopy due to disease recurrence. Therapeutic effect was estimated in 22 patients, from 3 months to 11 years after the surgery on the basis of disease recurrence. Except for the cited one patient, none other had the disease recurrence. It was concluded that timely diagnosis of PVNS offered more adequate treatment and conditions for complete recovery. In the disease limited just in the ankle joint, arthroscopic synovectomy would be the therapy of choice. In advanced diffuse form, total synovectomy should be performed for all the disease localizations.

Adolescent↗

PubMedDate not supplied

[Rigid osteosynthesis with the AO plate and Phemister's spongioplasty in secondary treatment of diaphyseal gunshot fractures].

In prospective study, in 160 injured with diaphyseal gunshot fractures (DGF), in secondary treatment phase, there were applied rigid osteosynthesis by AO plate and spongioplasty with iliac graft by Phemister assuming that this method would provide good functional results. The average age of injured was 32.25 years, and average postsurgical follow-up period was 32.5 months. The fracture healing was achieved in 93.7% injured while pseudoarthrosis developed in 6.25%. Osteomyelitis, as the second significant complication, appeared in 8.12% cases. Good functional results were achieved in 55.62%, satisfying in 36.25% while the poor result was noticed only in 8.12% cases. The applied method in DGF treatment proved to be very successful, it led to faster fracture healing, shortening of hospitalization time of the injured with better functional results and less complications compared to the other treatment methods in the secondary phase.

Adult↗