Surgery and Arthroscopy of the Knee: First European Congress of Knee Surgery and Arthroscopy Berlin, 9–14. 4. 1984

403 Pages·1986·10.5 MB·English

by  K. Franke (auth.), E. L. Trickey FRCS, Professor Dr. Peter Hertel (eds.)

Surgery
and Arthroscopy
of the Knee
First European Congress
of Knee Surgery and Arthroscopy
Berlin, 9-14.4.1984
Edited by E. L. Trickey and P. Hertel
With 215 Figures and 58 Tables
Springer-Verlag Berlin Heidelberg New York
London Paris Tokyo
E. L. Trickey, FRCS
Institute of Orthopaedics
Royal National Orthopaedic Hospital
Brockley Hill
Stanmore, Middlesex, HA7 4LP, U. K.
Professor Dr. Peter Hertel
Rudolph-Virchow-Krankenhaus
Augustenburger Platz 1, 1000 Berlin, FRG
ISBN-13: 978-3-642-71024-7 e-ISBN-13: 978-3-642-71022-3
DOl: 10.1007/978-3-642-71022-3
Library of Congress Cataloging-in-Publication Data. Surgery and arthroscopy of the knee.
1. Knee - Surgery. 2. Arthroscopy. 3. Artificial knee. 4. Knee - Surgery - Patients - Re
habilitation. I. Trickey. E. L. (Edward Lorden), 1920-- . II. Hertel, Peter. [DNLM: 1. Arthroscopy.
2. Cartilage, Articular - surgery. 3. Knee Injuries - surgery. 4. Knee Joint-physiology. 5. Knee
Prosthesis. 6. Ligaments, Articular - surgery. We 870 S9608] RD561.S85 1986 617'.582059
86-13745 ISBN-13: 978-3-642-71024-7
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© Springer-Verlag Berlin, Heidelberg 1986
Softcover reprint of the hardcover 1st edition 1986
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Preface
This book is a record of the papers read at the first meeting of the
European Society of Knee Surgery and Arthroscopy (ESKA). This
was held in the magnificent International Congress Centre (ICC)
in West Berlin.
Planning for the inaugural meeting of a proposed large society is
inevitably fraught with problems and doubts. However, thanks to the
tremendous assistance given by the ICC organization and to the
participation of so many orthopaedic surgeons from Europe and all
over the world the society had a very successful meeting, and it is
fitting that the papers are collected together in this book as a
permanent record.
Various factors combined to delay the appearance of the book until
now, shortly before the second ESKA meeting (1986) in Basle. We
should like to take this opportunity of thanking Springer-Verlag for all
the hard work involved in ensuring that the book was finished before
this occasion and while the subject matter is still so topical.
The knee joint is exceptionally important in various ways. This joint
connecting the long bones of femur and tibia is particularly prone to
injury, but at the same time it is vital for it to be in good working
order, and not onlyfor athletes. It is essential for balance and mobility,
which in turn are fundamental to financial and social independence in
older people and all working people. This is also reflected in the
considerable sums expended by our social security and health
insurance systems on the treatment of knee injuries and on disability
pensions payable as a result of knee injuries.
It is therefore incumbent upon us to coordinate our scientific
endeavours without allowing ourselves to be restricted to our own
national societies; such international congresses in Europe allow us
to pool our knowledge so that information on the advances made can
be disseminated more quickly, to the ultimate benefit of the patients.
August 1986 E. L. Trickey, Stanmore
We. MOiler, Basle
P. Hertel, Berlin
V
Name List of Authors
Abbink EP Dive JM Hertel P
Ackroyd CE Drobny TK Hillen B
Aglietti P Dupont JY Holzheimer R
Aigner R Dumont P Hoogland T
Albrektsson B Ecke H Horterer H
Alho A Edixhoven Ph Huiskes R
Ali MS Eickhoff W Hungerford DS
Arms S Engesaeter L v. Hussen FAJ
Arvidsson-Johansson I Eriksson E Hutton P
Aubaniac JM Feagin lusim M
Aubriot JH Fabbriciani C Jackson A
de Baere GAJ Feldkamp G Jackson RW
Baily RAJ Fonda G Jager M
Bandi W Franceschi JP Janssen G
Bannister GC Franke K Jensen J
Bauer M Freeman MAR Johnson R
Baumgartner R Gaechter A Johnson DP
Behfar AS Gallai V Junger CH
BenazetJP Galanis J Junker
v.d. Berg A Gaudernak T Kalbe P
Blankevoort L Geesinck RGT Karpf PM
Blauth W Georgoulis A Kayser M
Boe S Giebel G de Keizer G
Bopp P Gillquist J Kemp HBS
Borg G Gorecki A Kieser CH
Braun W Gradinger R Klein W
BOhlmann H Graf HJ Klemann T
Burri C Gschwend N Knutsson E
Buzzi R Hackenbruch W Kolzer D
Canata GL Haggmark T Kolb M
Cardoso T Hager D Korisek G
Casolo F Hahn M Krackow K
Cerulli G Hamberg P Kramer FJK
Chaix C Hardinger K Kus W
Giuccarelli Hassenpflug J Kuyper W
Claes L Hauspal Lais E
Constantinides C Hehne HF de Lange A
Contzen H Heinert K Lauritzen J
Crawford RJ Hempfling H Legre G
Cusimano S Hepp WR Lerat JL
De Santis E Herberts P Leyshon A
VII
Lim TE Parker J Scharf W
Lindberg U Pass I R Scheier H
van den Linden AJ Paul B Schmid R
Livingstone B Perren SM Schmidt JM
Lysholm J Perugia L Schmidt MA
Mailaender C Peterson L Schmiebusch H
Mang W Pf6rringer W Schreiber A
Mann M Pieper Schulitz Kp
Maquet P Pietrogrande V Schultheis KH
Mariani PP Pisaneschi A Seiler H
Marti R Piscopakis N Shatwell M
Mason J Pitman MI Siegel A
Mazotta G Pokorny V Simonsen
Menachem A Pope M Skredderstuen A
Menche OS Poster Skorpik G
Mendes OG Pozo JL Sioof TJJH
Meyrat R Prahl R Soudry M
Meystre JL Pudden Steiger U
Milachowski KA Raugstadt TS Strand T
Miremad Ch Recanatini L Tarquini C
Mitsou A Refior HJ Tegner Y
Mockwitz J Regan J Tosca L
Moister AO Rehder U Trickey EL
Motta F Rehm K Tscherne H
Mukherjee SK van Rens Th JG Tsemanis V
MOiler KH Rether JR Ulivi M
MOiler W Robinson MP Vallatta A
MOiler-Farber J Rodriguez M Wagner M
MOnch EO Rofman R Weber J
Munzinger U Roffman M Weh L
Murphy JC Rogge OH Weigert M
Neugebauer R Roy-Camille R Weinel P
Niedermann B Rubak JM Weismeier K
Noesberger B ROter A Wentzensen
Nordin.M Sachler A Werhahn
Odensten M Sagstetter C Wirth CJ
Oestern HJ Saillant G Wyss U
Ogilvie-Harris '0 Salomon Z Zander C
Older J Samuelson KM Zeegers FJB
Oransky M Sandt A Zifko B
Panni Schiavone P Savoldi E
Papadelis P Schabus R
VIII
Table of Contents
Biomechanics
Epidemiology of knee joint injuries
K. Franke . .......... . 3
The biomechanics of anterior cruciate ligament rehabilitation
and reconstruction
I. Arvidsson, S. Arms, E. Eriksson, R. J. Johnson and M. Pope 4
In vitro measurement of stress and strain in knee ligaments
under various load and position conditions
L. Glaes and R. Schmid. . . . . . . . . . . . . . . .. 5
The functional anatomy of the knee joint - kinematics of the
ligaments
U. Rehder. . . . . . . . . . . . . . . . . . . . . .. 6
The three-dimensional freedom-of-motion characteristics of the
human knee joint
R. Huiskes, A. de Lange and L. Blankevoort. . . . . . . 7
An instrument for quantitative clinical evaluation of the AP
drawer in the knee joint
P. Edixhoven, R. Huiskes, T. J. G. van Rens and
T. J. J. H, Siooff . . . . . . . . . . . . . . . . . . . 9
Radiological assessment of tibial torsion in relation to knee
instability
J. L. Meystre. . . . . . . . . . . . . . . . . . . . .. 11
Pes anserinus transfer according to Slocum: new biomechanical
concepts and indications for surgery
A. Val/atta, F. Gasolo, V. Pietrogrande and F. Motta . . 12
Biomechanics of the patello-femoral joint under normal
conditions and after transfers of the tuberositas tibiae
H. J. Hehne . . . . . . . . . . . . . . . . . . . . 18
Chondromalacia of the knee joint - principles of medical and
surgical treatment
K. Franke . . . . . . . . . . . . . . . . . . . . . .. 20
IX
Articular Cartilage
Stress response of articular cartilage
R. G. T. Geesink . . . . . . . . . . .. 23
Diagnosis and therapy of acute articular cartilage injuries
D. H. Rogge and J. R. Rether . . . . . . . . . . . . . . . 25
Repair of articular cartilage
A. J. van der Linden . . . . ..... 27
Articular cartilage lesions of the femoral condyles
M. Bauer, R. W. Jackson and D. Ogilvie-Harris. . . . . 31
Clinical experiences with the use of fibrin sealant in the
treatment of osteochondral fractures in the knee
T. Gaudernak, G. Skorpik and B. Zitko . . . . . . . . . . . 37
Bone canal drilling in chondropathy
C. Zander. . . . . . . . . . . . . . . . . . . . . . . . 41
Free periosteal grafts in human knee joints using Fibrinkleber
Human Immuno
B. Niedermann, S. Boe, J. Lauritzen and J. M. Rubak. . . . . 46
Biomechanical aspects of the pathogenesis of osteochondritis
dissecans (Koenig)
W. Bandi . . . . . . . . . . . . . . . . . . . . . 47
Allogenous cartilage transplantation in the treatment of
osteochondrosis dissecans. Technique and results
D. H. Rogge and P. Kalbe. . . . . . . . . . . . .. .. 51
On the operative treatment of osteochondrosis dissecans -
longer term arthroscopic follow up
W. Blauth and M. Mann. . . . . . . . . . . . . . . . 53
Experimental model for chondrocyte transplantation in rabbits
D. S. Menche, M. I. Pitman and L. Peterson . . . . . . 54
Total knee replacement using an osteochondral allograft
in baboons
M. Roffman . . . . . . . . . . . . . . . . . . . . . . . 55
x
Arthroscopy
Arthroscopy and arthroscopic meniscal surgery in ligament
instability
P. P. Mariani, G. Puddu and L. Perugia . . . . . . . . . . . 59
Arthroscopy under local anaesthesia
T. Hoogland, G. A. J. de Baere and F. J. B. Zeegers . . . . . 61
Day case arthroscopy
J. Older and T. Cardoso. . ........ 62
The place of arthroscopy in sports injuries
S. K. Mukherjee and J. Regan . . . . . . . 63
Arthroscopy: original experience of a university department
which trains young surgeons
J. L. Meystre. . . . . . . . . . . . . . . . . . . . .. 70
Knee function after arthroscopic meniscectomy. A prospective
study
P. Hamberg and J. Gillquist . . . . . . . . . . . . . . 71
Comparison of the results of open and arthroscopic partial
meniscectomy in gas, performed by the same surgeons
T. Klemann, M. Hahn and M. Weigert. . . . . . . . . . . . 72
Arthroscopic failures: complications and prevention.
Second time arthroscopic evaluation: A retrospective study
J. L. Mason, Jr. . . . . . . . . . . . . . . . . . . 73
Cartilaginous lesions following medial arthroscopic
meniscectomy
E. Lais, P. Hertel and A. Georgoulis . . . . . . . . . 77
Complications of arthroscopy
S. Saillant, J. P. Benazet and R. Roy-Camille . . . . . . . . 80
Arthroscopy of children's knee-joints: its indication and results
A. S. Behfar and H. J. Refior. . . . . . . . . . . . . . . . 81
The medial shelf: an anatomical, clinical and pathological study
J. Older, R. Hanspal and T. Cardoso . . . . . . . . . . . . 82
The medial shelf of the knee: a follow-up study
W Klein. . . . . . . . . . . . . . . . . . . . . . . . . 87
XI
Menisci
Classification of meniscal tears: therapeutic implications
J. Y. Dupont . . . . . . . . . . . . . . . . . . . . 91
The repair of meniscus lesions by synovial flaps:
experimental study
C. Fabbriciani, A. Schiavone-Panni and M. Oransky . 96
Suture of fresh and old meniscal tears - animal experiments
and clinical results
C. J. Wirth, K. A. Milachowski and K. Weismeier. . . .. . 101
Meniscus sutures for old tears - Report on over 100 cases
M. Rodriguez and A. Schreiber . . . . . . . . . . . . . . 102
Meniscus repair
P. M. Karpf, C. Sagstetter and R. Aigner ..... 109
Partial resection of the discoid meniscus of the knee
P. Papa delis and V. Tsemanis . . . . . . .. ..... 111
Recurrent operation on the knee joint - reasons
and consequences
K. Franke and B. Paul . . . . . . . . . . . . . 112
Meniscectomy by mini-arthrotomy under local anaesthesia
A. Gachter. . . . . . . . . . . . . . . . . . . . . . . . 113
Anterior Cruciate ligaments
Clinical findings in acute anterior cruciate ligament ruptures:
correlation with experimental data
P. Hertel . . . . . . . . . . . . . . . . . . . . . .. 119
Acute diagnosis and treatment in post-traumatic haemarthrosis
G. de Keizer . ...................... 126
The influence of haemarthrosis of the knee joint on the cruciate
ligaments
W Pforringer . . . . . . . . . . . . . . . . . . . . . . 130
Surgical or conservative treatment of the acutely torn anterior
cruciate ligament; a randomized study with a short-term
follow-up
M. Odensten, P. Hamberg, M. Nordin, J. Lysholm and J. Gillquist 131
Isolated lesion of the anterior cruciate ligament
M. Weigert and C. Werhahn ................ 132
XII