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| 1 | Deepening trochleoplasty combined with balanced medial patellofemoral ligament reconstruction for an adequate graft tensioning显示文摘AIM To evaluate our modified deepening trochleoplasty com-bined with a balanced medial patellofemoral ligament(MPFL) reconstruction for soft tissue alignement. METHODS Thirty-three knees with with recurrent patellar dislocations and a trochlear dysplasia in 30 patients(m/f = 12/21, mean age 24 ± 9 years) underwent a combination of a modified deepening trochleoplasty and a balanced MPFL reconstruction for a medial soft tissue alignement. After a mean follow-up period of 29 ± 23 mo, patients' return to sports, possible complications as well as the clinical outcomes using the Kujala, International Knee Documentation Committee(IKDC) and Lysholm scoring were evaluated. Moreover, patients' satisfaction with the general outcome, the cosmetic outcome, the pre-and postoperative pain and a potential avoidance behaviour were assessed with additional standardized questionnaires which also included different visual analog scales. RESULTS There were no signs of a persistent instability. The Kujala score improved from a mean of 64 ± 16 points to 94 ± 9 points, the Lysholm score improved from a mean of 63 ± 17 to 95 ± 6 points and the IKDC score from 58 ± 11 to 85 ± 12 points, P < 0.0001, respectively. The assessment of pain using a visual analog scale showed a significant pain reduction from a mean of 4.8 ± 2.0 to 1.3 ± 3.4 points(P < 0.0001). Two of 26 cases(92%) who were engaged in regular physical activity before surgery did not return to full sporting activities. One patient felt that his sport was too risky for his knee and reported an ongoing avoidance behaviour. The other patient preferred to wait for surgery of her contralateral knee. Of the eight patients who were not engaged in sporting activities before surgery, three started regular sporting activities after surgery. In 31 of the 33 cases(94%), the patients were very satisfied with the clinical outcome of the surgery. Regarding the cosmetic results, no patients felt impaired in their self-confidence and in their clothing decisions. CONCLUSION Our technique shows a good clinical outcome in terms of the common scorings as well as in terms of pain, return to sports and patient satisfaction. | Lars V von Engelhardt Pia Weskamp Matthias Lahner Gunter Spahn Joerg Jerosch | 2017 | World Journal of Orthopedics2017，8，12： | 2 |
| 2 | Accuracy of pedicle screw placement in lambar vertebrae 显示文摘 | Castro WH Halm H Jerosch J | 1996 | Spine1996，21，11： | 1 |
| 3 | Percutaneous bipolar dis- cectomy:Technical principles and initial results wish an in vitro model显示文摘 | Jerosch J Filler T Peuker E | 1998 | Biomedtech (Berl)1998，43，78： | 1 |
| 4 | Arthroscopic treatment of calcific tendinitis of the shoulder显示文摘 | Jerosch J Strauss JM Schmiel S | 1998 | J Shoulder Elbow Surg1998，7，1： | 1 |
| 5 | Interindividual reproducibility in perioperative rotational alignment of femoral components in knee prosthesis surgery using the transepicondylar axis显示文摘 | Jerosch J Peuker E Philipps B | 2002 | Knee Surg Sports Traumatol Arthrosc2002，10，： | 1 |
| 6 | Zur Atilogie des subacromialen Impingment-Syndroms-eint biomech anische Untersuchung 显示文摘 | Jerosch J Castro WH Stones HU | 1989 | Beitr Orthop Traumatol1989，3，6： | 1 |
| 7 | Myocardial perfusion reserve: assem-merit with multisection, quantitative, first pass MR imaging显示文摘 | Wilke N Jerosch H M Wang Y | 1997 | Radiolo-gy1997，204，： | 1 |
| 8 | Arthroscopic treatment of patients with moderate arthrofibrosis after total knee replacement 显示文摘 | Jerosch J Aldawoudy AM | 2007 | Knee Surg Sports Traumatol Arthrosc2007，15，1： | 1 |
| 9 | Interindividual reproducibility in perioperarive rotational alignment of femoral components in knee prosthetic surgery using the transepicondylar axis显示文摘 | Jerosch J Peuker E Philipps B | 2002 | Knee Surg Sports Traumatol Arthrosc2002，10，3： | 1 |
| 10 | Scanning electron-microscopic studies of morphological-changes in uhmwpe induced by various forms of machining显示文摘 | Jerosch J Fuchs S Schmidt T | 1996 | Biomed Tech1996，41，5： | 1 |
| 11 | Is shorter really better? Philosophy of short stem prosthesis designs显示文摘 | Jerosch J | 2011 | Orthopade2011，40，12： | 1 |
| 12 | Interindividual reproducibility in perioperative rotational alignment of femoral components in knee prosthetic surgery using the transepicondylar axis显示文摘 | Jerosch J Peuker E Philipps B | 2002 | Knee Surg Sports Traumatol Arthrosc2002，10，3： | 1 |
| 13 | Accuracy of pedicle screw placement in lumbar vertebrae显示文摘 | Castro WH Halm H Jerosch J | 1996 | Spine1996，21，11： | 1 |
| 14 | Interindividual reproducibility in perioperative rotational alignment of femoral components in knee prosthetic surgery using the transepicondylar axis 显示文摘 | Jerosch J Peuker E Philipps B | 2002 | Knee Surg Sports Traumatol Arthrosc2002，10，3： | 1 |
| 15 | Accuracy of pedicle screw placement in lumbar vertebrae 显示文摘 | Halm H Jerosch J | 1996 | Spine1996，21，： | 1 |
| 16 | Accuracy of pedicle screw placement in lumbar vertebrae显示文摘 | Castro WH Halm H Jerosch J | 1996 | Spine1996，21，11： | 1 |
| 17 | Which stabilization technique corrects anatomy best in patients with AC-separation? An experimental study显示文摘 | Jerosch J Filler T Peuker E | 1999 | Knee Surg Sports Traumatol Arthrosc1999，7，： | 1 |
| 18 | Influence of a high hip center on abductor muscle function 显示文摘 | Jerosch J Steinbeck J Steehmann J | 1997 | Arch Orthop Trauma Surg1997，116，67： | 1 |
| 19 | Permeability determina-tion from NMR relaxation measurements for fluids in por-ous media 显示文摘 | JEROSCH H M THOMANN H | 1995 | Magnetic Resonance Imaging1995，13，1： | 1 |
| 20 | Prospective,multicentre,randomised evaluation of the safety and efficacy of five dosing regimens of viscosupplementation with hylan G-F20 in patients with symptomatic tibio-femoral osteoarthritis:a pilot study显示文摘 | Conrozier T Jerosch J Beks P | | Archives of Orthopaedic and Trauma Surgery0，，： | 1 |
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