General Hospital of Second Artillery Army

Beijing, China

General Hospital of Second Artillery Army

Beijing, China
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Zhou M.,General Hospital of Second Artillery Army | Fu J.,General Hospital of Second Artillery Army | Zhang S.-M.,General Hospital of Second Artillery Army | Hao Y.,General Hospital of Second Artillery Army | And 4 more authors.
Journal of Clinical Rehabilitative Tissue Engineering Research | Year: 2011

Background: It is important to select the proper isometric point of anterior cruciate ligament (ACL) reconstruction procedures. Isometric point selection of ACL reconstruction with anteriomedial arthroscopic and transtibial approach is rarely reported. Objective: To evaluate the clinical results and discuss technical issues of isometric point selection of ACL reconstruction with anteriomedial arthroscopic and transtibial approach. Methods: From 2007-2010, 48 cases of ACL rupture of our department were included in this research. All patients complainted of knee instability after injury and their ages were between 18-55 years. Physical exam and MRI revealed complete tear of the ligament. The patients regained 0-120°range of motion and no inflammatory or trauma was reported on skin of their knees. Patients were randomly divided into anteriomedial arthroscopic approach group (n=26) and transtibial approach group (n=22). They were technically studied to review the clinical results and the difference of femoral tunnel building between these two approaches. Results and Conclusion: The average follow-up duration was 21 months. Times for isometric point selection of ACL reconstruction with anteriomedial arthroscopic and transtibial approach were 1.80±0.25, 2.20±0.18, respectively. No significantly difference was found. Lachmann scores, Tegner scores, and angle of grafts were not significantly different between the two groups (P > 0.05). Using anteriomedial arthroscopic approach and isometric point determination methods, transtibial approach could yield similar clinical results with anteromedial approach.


Zhou M.,General Hospital of Second Artillery Army | Zhang S.-m.,General Hospital of Second Artillery Army | Fu J.,General Hospital of Second Artillery Army | Chen F.-w.,General Hospital of Second Artillery Army | And 3 more authors.
Journal of Clinical Rehabilitative Tissue Engineering Research | Year: 2011

BACKGROUND: It is important to predict the risks of arthroplasties before operation. Among the systems of prediction of morbidity and mortality, POSSUM and P-POSSUM scores have been proved to be the most reliable scoring systems. However, its application in arthroplasties is rarely reported. OBJECTIVE: To evaluate the value of POSSUM and P-POSSUM scores in predicting morbidity and mortality in patients undergoing arthroplasties. METHODS: From 2008-01 to 2010-10, 186 patients underwent arthroplasties were studied retrospectively using POSSUM and P-POSSUM scoring systems to predict the morbidity and mortality. RESULTS AND CONCLUSION: There was no statistically difference between the patients with complications predicted by POSSUM (32 cases, 17%) and the observed (28 cases, 15%) within 30 days after implantation (P > 0.05). The observed deaths number (5 cases, 3%) also had no significant difference from the predicted value by P-POSSUM (2 cases, 1%). POSSUM and P-POSSUM scoring systems showed satisfied predictive ability of morbidity and mortality.

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