350 rub
Journal Technologies of Living Systems №7 for 2010 г.
Article in number:
COMPUTER-ASSISTED KNEE ANTERIOR CRUCIATE LIGAMENT ARTHROSCOPY RECONSTRUCTION
Authors:
N.V. Zagorodny, A.S. Neverkovich, I.I. Radysh, O.N. Yavlyansky
Abstract:
86 patients (53 men and 33 women) with break anterior cruciate ligament are surveyed which were divided into 2 groups: the first group (basic), consisting from 34 patients, reconstruction an-terior cruciate ligament was spent with the help of computer navigation (Orthopilot Aesculap) and use free autotrasplant from muscles. To the second group (control) consisting from 52 patients the operative treatment was spent standard by a way with use similar trasplant. The average age of the patients has made about 28 years (17 - 46 years). Is shown, that the average number on a scale Lysholm has made in I group 82,1±1,5 numbers and in II - 79,3±1,2 numbers in 2 years after realization of operative intervention, that corresponds to good result. Is established, that in 26 patients (76,5 %) basic group in 2 years after realization of anterior cruciate ligament reconstruction on the data IKDС results were estimated as "norm" (returning to sports activity on former level of achievement) and in 5 patients (14,7 %) the results were estimated as "almost norm". In 36 patients (69,2 %) control group the results were estimated as "norm" and 13 (25,0 %) as " almost norm ". Thus, the carried out research has shown, that use of computer navigation allows to achieve repeatability of good and excellent results in independence of experience of the operating surgeon and thus to define maximum isometric situation of the trasplant, that results in its fast revascu-larization and reinervation.
Pages: 57-60
References
  1. Загородний Н.В., Лазко Ф.Л., Эльгади М.Х. и др. Опыт проведения 1300 артроскопии крупных суставов // Вестник РУДН. 2002. Вып. 2.
    С. 92 - 93.
  2. Королев А.В., Загородний Н.В., Ахпашев А.А., Гнелица Н.Н. Реконструкция передней крестообразной связки аутотрансплантатом из подколенных сухожилий с фиксацией «EndoButton». / Методические рекомендации. М.: Изд-во Андерсен Дизайн. 2007. 56 c.
  3. Миронов С.П., Орлецкий А.К., Цыкунов М.Б.  Повреждения связок коленного сустава. М.: Гиппократ. 1999. 207 с.
  4. Орлянский В., Головаха М.Руководство по артроскопии коленного сустава. Дніпропет­ровськ: Пороги. 2007. 149 с.
  5. Петухов А.И., Корнилов Н.Н., Куляба Т.А., Тихилов Р.М., Селин А.В. и др.Современные взгляды на применение компьютерных навигационных систем при первичном тотальном эндопротезировании коленного сустава (обзор литературы) // Травматология и ортопедия России. 2010. №1 (55). С. 115 - 123.
  6. AOSSM institutes multi-center revision ACL study / In: Matava M.J., Boden B.P. eds. AOSSM Sports Medicine UpdateMarch-April. 2005. N. 5. http://www.sportsmed.org/ sml/ esmu/ March-April%202005/css/SMU(Mar-Apr05)_5.htm 
  7. BareniusB., Nordlander M., Ponzer S., Tidermark J., ErikssonK. Quality of Life and Clinical Outcome After Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Graft
    or Quadrupled Semitendinosus Graft: An
    8-Year Follow-up of a Randomized Controlled Trial. // Am. J. Sports Med. 2010. V. 38.
    P. 1533 - 1541.
  8. Bedi A., Musahl V., O'Loughlin P., Maak T., Citak M., Dixon P., Pearle A.D.A Comparison of the Effect of Central Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction and Double-Bundle Anterior Cruciate Ligament Reconstruction on Pivot-Shift Kinematics. // Am. J. Sports Med. 2010. V. 38(9). P. 1788 - 1794.
  9. Koh J. Computer-Assisted Navigation and Anterior Cruciate Ligament Reconstruction: Accuracy and Outcomes // Orthopedics. 2005. № 1. http://www.orthosupersite.com/view.aspx-rid=4081#jump
  10. Lam M.-H., Fong D.T.P., Yung P.S.H., Ho E.P.Y., Chan W-Y., ChanK-M.Knee stability assessment on anterior cruciate ligament injury: Clinical and biomechanical approaches// Sports Medicine, Arthroscopy. Rehabilitation. Therapy & Technology. 2009. V. 1:20. P.1 - 9.
  11. Laskin R.S., Beksaç B. Computer-assisted navigation in TKA: where we are and where we are going // Clin Orthop Relat Res. 2006. Nov. V.452. P. 127 - 31.
  12. Musahl V., Jordan S.S., Colvin A.C., Tranovich M.J., Irrgang J.J., HarnerCh.D. Practice Patterns for Combined Anterior Cruciate Ligament and Meniscal Surgery in the United States // Am. J. Sports Med. 2010. V. 38. P. 918 - 923.