Knie-artrose

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Feit

Bij hardlopen wordt de knie belast met 6x uw lichaamsgewicht bij elke stap

Máxima Medisch Centrum

Value-Based Health Care

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Orthopedie Groot Eindhoven

Goede uitleg is essentieel voor juiste keuze behandeling

Meniscus-scheur

Voorste kruisbandreconstructie

Achterste kruisbandletsel

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YouTube kanaal dr RPA Janssen

Internationaal wetenschappelijk onderzoek

Kruisbandoperaties knie

RPA Janssen MD PhD

Kruisbandoperaties

Waardegedreven zorg

Last van knie-artrose?

Spreekuur / Policlinique / Outpatient clinic

Nederlandse Vereniging voor Arthroscopie

Máxima Medisch Centrum

Kruisbandoperaties bij kinderen

Veel pijn bij ernstige knie-artrose?

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Máxima Medisch Centrum Eindhoven-Veldhoven

Kwaliteit van leven

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Sporten met plezier

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Associate Professor Knee Reconstruction

Fact

Kneecap pain is a regular occurrence in fitness knee rehabilitation

Knee osteoarthritis

Cycling wise?

Fact

When running, the knee is loaded with 6x your body weight with each step

Steigerung der Evidenz zur optimalen Behandlung kindlicher VKB-Verletzungen: Die Initiative zur Erfassung von Verletzungen des vorderen Kreuzbandes bei Kindern und Jugendlichen (Paediatric Anterior Cruciate Ligament Monitoring Initiative, PAMI)

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Mouton, C., Magosh, A., Moksnes, H., Janssen, R. P. A., Fink, C., Zaffagnini, S., Monllau, J. C., Ekås, G., Engebretsen, L., Nührenbörger , C., & Seil, R
Sports Orthopaedics and Traumatology. 2022, Published Online Nov 30
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Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients – scoping review of surgical techniques and outcomes

Martijn Dietvorst, Stephanie Verhagen, Marieke van der Steen, Florens QMP van Douveren, Rob PA Janssen
41st EPOS Annual Meeting European Pediatric Orthopaedic Society (March 29-April 1, 2023. Krakow, Poland)

Abstract:
Introduction and Objectives: Graft failure rates after anterior cruciate ligament (ACL) reconstruction in children and adolescents are higher compared to adults. Studies have highlighted young age, hyperlaxity and rotatory instability as risk factors for graft failure and to require anterolateral augmentation procedures during ACL reconstruction (ACLR). The literature on anterolateral ligament recosntruction (ALLR) or lateral extra-articular tenodesis (LET) in skeletally immature children and adolescents is scarce. The aim of this scoping review is to provide an overview of the current anterolateral augmentation procedures in skeletally immature patients and to discuss biomechanical characteristics, surgical considerations regarding the physes and clinical outcomes.
Materials and Methods: This scoping review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement extension for scoping reviews. PubMed, Embase and Cochrane databases were systematically searched for literature regarding ACLR with ALLR or LET. LET or ALLR techniques combined with a transphyseal ACLR, all-epiphyseal ACLR, over-the-top or hybrid ACLR (partial epiphyseal or extra-articular and transphyseal) were included in this review. Specific parameters of the surgical technique used in each study were collected, including the femoral attachment, tibial attachment and graft type. Findings from biomechanical studies of ALLR and LET were collected. Clinical outcomes, such as graft failure and growth disturbances were extracted.
Results: Sixteen studies were included in this systematic review after screening 1.287 abstracts. Thirteen studies describe LET techniques and 3 studies ALLR techniques. Most of the LET procedures were performed during an over-the-top ACLR, with low graft failure rates. Literature on ALLR in this population is scarce.
Conclusions: there are many LET techniques for skeletally immature children, which are most often performed with an over-the-top ACLR, with promising clinical results. There are other LET and ALLR techniques for transphyseal, all-epiphyseal or hybrid ACLR in skeletally immature patients.

Keywords: ACL reconstruction, lateral extra-articular tenodesis, anterolateral ligament reconstruction, skeletally immature, open physes