Author/Editor     Fokter, SK
Title     Pistenschilauf und die Ruptur des vorderen Kreuzbandes
Translated title     Alpine skiing and anterior cruciate ligament injuries
Type     članek
Source     In: Jenny E, Flora G, Berghold F, editors. Jahrbuch '97. Alpine Notfallmedizin und Rettungswesen im Winter Arbeitsmedizin und Hoehe; 1997; Innsbruck. Innsbruck: Oesterreichische Gesellschaft fuer Alpin - und Hoehenmedizin,
Publication year     1997
Volume     str. 79-88
Language     ger
Abstract     Knee ligament injuries are common in alpine skiing. Anterior cruciate ligament (ACL) is involved in almost two thirds of cases. Operative reconstruction with a free patellar tendon graft is the standard method of treatment. Loss of knee motion (arthrofibrosis) is a complication following ACL reconstruction, which substantially compromises the result of operative treatment of un unstable knee. In a series of 200 consecutive ACLreconstructions performed through a miniarthrotomy, out of which 71 (35,7%) were obtained at skiing, eight (4%) arthroscopic reoperations were needed because of loss of motion. This retrospective study was designed to clarify the causes, and to evaluate the results of arthroscopic treatment of this complication. Arthrofibrosis was more common in older patients and those operated early after injury. After reoperation, the functional outcome scores of patients, who underwent arthroscopic fibroarthrolysis and those who did not, were statistically the same.
Descriptors     SKIING
ANTERIOR CRUCIATE LIGAMENT
BIOMECHANICS
JOINT INSTABILITY
FIBROSIS
REOPERATION
ARTHROSCOPY
TREATMENT OUTCOME