[Recent knee ligament injuries. Discussion, remarks, and recommendations of all participants].
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Biomedical subjects
Publications and source records attributed to A Rüter.
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Tumor endoprosthesis first have been used for replacement of pathologic lesions of the proximal and distal femur or humerus. Since the development of segmental defect prosthesis and modular tumor endoprosthesis it is possible to replace neoplastic lesions of long bones with diaphyseal parts. Review of our clinic experience involving 46 cases of prosthetic replacement and only one case with a second procedure showed that this is a more viable concept than open reduction and internal fixation with methylmethacrylate supplementation.
In patients with painful post-traumatic or idiopathic varus gonarthrosis we perform interligamentous valgization osteotomy of the tibial head if arthroscopy shows the lateral joint surfaces to be in sufficiently good condition. Between 1989 and 1993, a total of 75 osteotomies were performed in symptomatic varus gonarthrosis, including 52 cases of idiopathic and 22 cases of post-traumatic gonarthrosis, and one case following infection of the knee joint. The corrections were stabilized exclusively with osteotomy staples (e.g. Richards). The stability thus achieved permits mobilization without plaster with partial loading up to 15 kg from the first postoperative day on. If the indication is adhered to, the operation correctly performed and the complication rate low, we regard the described procedure as appropriate for treating monocondylar varus gonarthrosis.