Search

Copyright of Arthroskopie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Osteotomy around the knee and unicondylar knee replacement can both produce excellent results in unilateral knee osteoarthritis. The indications for these procedures differ significantly and are discussed in this article., Methods: A weight-bearing long-leg radiograph, clinical stability tests and varus-valgus-stress radiographs are mandatory for a preoperative analysis. Osteotomy is a safe and reproducible procedure when a biplanar cutting technique is used and fixation is achieved with a plate fixator. Unicondylar knee replacement can be performed minimally invasive with a quadriceps-sparing arthrotomy., Evaluation: High tibial osteotomy and unicondylar knee may produce good results in unilateral osteoarthritis of the knee. Our multicenter follow-up study with 533 patients revealed good functional outcome scores with a low complication rate. The subjective ratings were better than in comparable groups with unicondylar knee replacement and with total knee arthroplasty., Conclusions: The main criterium for osteotomy versus unicondylar knee replacement is constitutional deformity of femur or tibia. In constitutional deformity, osteotomy has a very good prognosis. The results are not dependent on age, BMI, or grade of osteoarthritis. Activity and ligament stability of the knee are secondary criteria in favor of osteotomy. Medial osteoarthritis without constitutional deformity should be treated with unicondylar knee replacement.

Objective: Arthroscopic visualisation and release of nerves around the shoulder, decompression of ganglion cysts., Indications: Arthroscopic treatment of nerve entrapment syndromes around the shoulder (suprascapular nerve, axillary nerve). Arthroscopic visualisation and release of osseous or ligamentous structures causing nerve entrapment. Arthroscopic decompression and resection of periglenoid ganglion cysts. Arthroscopic release of concomitant lesions (labrum, rotator cuff, biceps)., Contraindications: No clinical or neurological evidence for nerve entrapment syndrome. Lack of conditions for a complex arthroscopic procedure (technique of visualisation, instrumentation, knowledge of specific neuroanatomy)., Surgical Technique: Diagnostic arthroscopy, decompression/resection of ganglion cyst. Visualisation and decompression of nerve. Detection and fixation of concomitant pathologies., Postoperative Treatment: Immobilisation in sling during the day after the operation. Actively assisted and active mobilisation of shoulder controlled by discomfort level. Manual lymph drainage starting on postoperative day 1. Sling and further rehabilitation according to treatment of concomitant lesions.