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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 | Combined Interpretation of Fracture Zones In Crystalline Rock Using Single hole,Crosshole Tomography and Directional Borehole-radar Data显示文摘 | Sandberg E V Olsson O L Falk Lars R | 1991 | The Log Analyst1991，32，： | 1 |
| 3 | Correlation between pectate lyase activity and ability of diazotrophic Klebsiella oxytoca VN 13 to penetrate into plant tissues 显示文摘 | Kovtunovych G Lar O Kamalova S Kordyum V Kleiner D Kozyrovska N | 1999 | Plant Soil1999，215，1： | 1 |
| 4 | Nanocrystalline diamond impedimetric aptasensor for the label-free detection of human IgE显示文摘 | DINH T T VERONIQUE V LARS G | 2011 | Biosenssors&Bioelectronics2011，26，6： | 1 |
| 5 | Iron constraints on planktonic primary production in oligotrophic lakes显示文摘 | TOBIAS V LARS J T | 2006 | Ecosystems2006，，9： | 1 |
| 6 | Carbon and nitrogen in forest floor and mineral soil under six common European tree species 显示文摘 | Lars V Inger K S Ingeborg C | 2008 | Forest Ecology and Management2008，255，： | 1 |
| 7 | The first encapsulation of hydroxynitrile lyase from Hevca brasiliensis in a sol-gel matrix显示文摘 | Lars V Ulf H Alain P | 2004 | Tetrahedron2004，60，10： | 1 |
| 8 | Development and application of a novel class of hierarchical tangential vector finite elements for electromagnetics 显示文摘 | Lars S A John L V | 1999 | IEEE Trans on Antennas Propagat1999，47，1： | 1 |
| 9 | Property rights and sustainable nature tourism: adaptation and mal- adaptation in Dalarna (Sweden) and Maine (USA) 显示文摘 | David V Lars H | 2000 | Ecological Economics2000，35，： | 1 |
| 10 | Modeling production and biomasses of zoobenthos in lakes显示文摘 | LARS H VIKTOR V B | 2003 | Aquatic Ecology2003，37，： | 1 |
| 11 | Association of HMGB1 Polymorphisms with Outcome after Allogeneic Hematopoietic Cell Transplantation显示文摘 | Brian Kornblit Tania Masmas S?ren L. Petersen Hans O. Madsen Carsten Heilmann Lone Schejbel Henrik Sengel?v Klaus Müller Peter Garred Lars Vindel?v | 2010 | Biology of Blood and Marrow Transplantation2010，，2： | 1 |
| 12 | Small-scale household biogas digesters: An option for global warming mitigation or a potential climate bomb?显示文摘 | Sander B Lars J Van V | 2014 | Renewable and Sustainable Energy Reviews2014，33，2： | 1 |
| 13 | Plasma Parathyroid Hormone and the Risk of Cardiovascular Mortality in the Community显示文摘 | Emil Hagstr?m Per Hellman Tobias E. Larsson Erik Ingelsson Lars Berglund Johan Sundstr?m H?kan Melhus Claes Held Lars Lind Karl Micha?lsson Johan ?rnl?v | 2009 | Circulation2009，，21： | 1 |
| 14 | Regional and hormone-dependent effects of apolipopritein E genotype on changes in bone minend in perimenopausal women显示文摘 | Lars UG Peter V Anne PH | 2001 | Bone Miner Res2001，，： | 1 |
| 15 | Endothelin-A receptor blockade prevents left ventricular hypertrophy and dysfunction in salt-sensitive experimental hypertension显示文摘 | Lars R Roland V Maike D | 2002 | Circulation2002，106，： | 1 |
| 16 | Endothelin-A receptor blockade prevents left ventricular hypertrophy and dysfunction in salt-sensitive experimental hypertension显示文摘 | Lars R Roland V Maike D | 2002 | Circulation2002，106，： | 1 |
| 17 | Limits to arbitrage and hedging:Evidence from commodity markets显示文摘 | VIRAL V LARS A Ramadorai T | 2013 | Journal of Financial Economics2013，109，2： | 1 |
| 18 | Comparison of etanercept and methotrexate,alone and combined,in the treatment of rheumatoid arthritis显示文摘 | Desiree V D H Lars K Vicente R | 2006 | Arthritis Rheum2006，54，： | 1 |
| 19 | Small-scale household biogas digesters: An option for global warming mitigation or a potential climate bomb?显示文摘 | Sander B Lars J Van V | 2014 | Renewable and Sustainable Energy Reviews2014，33，2： | 1 |
| 20 | Endothelin-A receptor blockade prevents left ventricular hypertrophy and dysfunction in salt-sensitive experimental hypertension 显示文摘 | LARS R ROLAND V MAIKE D | 2002 | Circulation2002，106，： | 1 |
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