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Faculty of Medical Sciences

Patiënttevredenheid en functie van de knie bij status na reconstructie van de posterolaterale hoek

Fledderus, K.S. (2012) Patiënttevredenheid en functie van de knie bij status na reconstructie van de posterolaterale hoek. thesis, Medicine.

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Abstract

Background: The posterolateral corner is one of the main stabilizers of the knee. Injuries to the posterolateral corner are not common and mostly difficult to diagnose. It is often seen in a multiligament injured knee whereby anterior cruciate ligament and/or posterior cruciate ligament are also injured. Untreated injuries of the posterolateral corner can lead to substantial patient morbidity and functional instability. Aim: In this study the patient satisfaction and function of the knee was investigated after reconstruction of the posterolateral corner. Design: retrospective cohort study Methods: Nineteen persons, who underwent a reconstruction of the posterolateral corner in the period 2000 to 2011, were included in this study. The group existed of fourteen men and five women with a mean age of 33 years. The mean follow-up was 4,67 years. The patientsatisfaction was measured with the subjective IKDC-questionnaire and the function of the knee was measured with knee examination scored with the objective IKDC-scoringssystem. Results: In this study 95% scored normal or nearly normal on the Dialtest (exorotatie) after the reconstruction. Preoperative scored 84% abnormal on the Dialtest. All persons showed preoperative varusinstability. Postoperative 63% scored normal or nearly normal on varusinstability. The preoperative subjective IKDC-scores improved significant after a reconstruction, with an average increase of 17 points. Conclusion: A reconstruction of the posterolateral corner with a 2-graft technique results in normal or nearly normal posterolateral kneestability and improves the patientsatisfaction significantly.

Item Type: Thesis (Thesis)
Supervisor name: Begeleiders: and Diercks, R.L. en and Dijkstra, N.M. and Afdeling orthopedie and UMCG, Groningen
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:47
Last Modified: 25 Jun 2020 10:47
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/853

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