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العنوان
Articular Cartilage Injuriirs of the Knee After ACL Injuries /
المؤلف
Massoud, Sherif Mistafa.
هيئة الاعداد
مشرف / شريف مصطفى مسعود
مشرف / محب الدين احمد فاضل
مشرف / مصطفى احمد ايوب
مشرف / حسام الدين محمد جاد
الموضوع
Orthopaedics.
تاريخ النشر
2016.
عدد الصفحات
p 183. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة طنطا - كلية الطب - جراحه العظام والكسور
الفهرس
Only 14 pages are availabe for public view

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from 227

Abstract

The ACL is vital to the normal kinematics of the knee and the ability for patients to satisfactorily compete in acceleration, deceleration, cutting, and pivoting sports.
ACL deficiency has been shown to cause increased contact pressures on the tibiofemoral articular cartilage and produce abnormal stresses on the supporting structures, predisposing these structures to injury. There is an increased incidence of meniscal and articular cartilage injuries with time from injury to ACL reconstruction. Also
there is a time related response to chondral injury after ACL injury with the lateral compartment more affected acutely and medial compartment developing injury chronically. Patients with a symptomatic ACL-deficient knee and an associated tear of the medial meniscus are at high risk of having a
lesion of the articular surface of the weight bearing area of the knee.
 It is recommend that the optimal time window for ACL reconstruction should be between four and six weeks post initial injury, once regaining painless range of movements. The limitation of this study is that the small sample size. It should be validated by conducting both prospective and retrospective analysis with larger sample sizes in the future.
 Identifying at-risk patients would facilitate appropriate discussion of treatment options before surgery and preoperative planning in terms of operating room scheduling and surgical
equipment.