Publications by authors named "N Zumbansen"

[Elbow arthritis].

Orthopadie (Heidelb)

December 2024

Article Synopsis
  • - Most patients with primary osteoarthritis of the elbow have a history of heavy lifting, and conservative treatments like NSAIDs and activity changes are effective in early stages.
  • - Surgical options, especially arthroscopic osteocapsular arthroplasty, are successful for pain relief even with existing cartilage damage, and assessing the ulnar nerve during surgery is important.
  • - Total elbow arthroplasty (TEP) is effective for pain and function, but is typically reserved for older patients with severe osteoarthritis or those who haven't responded to joint-preserving surgeries.
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The elbow joint is a hinge-type synovial joint and is the second most frequently dislocated joint in adults and the most frequently dislocated joint in children. To find the right treatment options a precise understanding of the injury pattern, anatomy, biomechanics and pathology (simple vs. complex dislocation) is essential for a good reconstruction of the function and to prevent chronic instability and pain.

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Purpose: To evaluate the optimal graft tension angles in a medial patellofemoral ligament (MPFL) reconstruction with selective bundle tensioning in order to restore patellofemoral contact pressure distributions closest to the native state.

Methods: Twelve human cadaveric knee specimens were mounted with the femur on a custom-made fixation device allowing free range of motion in the knee joint for testing. Using a sensitive pressure film (Tekscan) patellofemoral contact pressure was measured in 15° intervals during a dynamic flexion movement from 0°-90° in the native state, in cut MPFL and after MPFL-reconstruction with a gracilis tendon.

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Purpose: Objective evaluation of the optimal graft tension angle to fully restore patellofemoral contact pressure in reconstruction of the medial patellofemoral ligament (MPFL) in comparison to the native knee.

Methods: Twelve cadaveric knee specimens were fixed in a custom-made fixation device. A sensitive pressure film (Tekscan) was fixed in the patellofemoral joint, and patellofemoral contact pressure was assessed during a dynamic flexion movement from 0° to 90°.

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