Stelios Papalexandris

Democritus University of Thrace

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Paraskevi Malliou

Democritus University of Thrace

Asimenia Gioftsidou

Democritus University of Thrace

Georgios Godolias

St. Anna Hospital

Christos Bikos

General Hospital of Attica

Anastasia Beneka

Democritus University of Thrace

K. Dogiparthi

L. van Niekerk

Friarage Hospital

Evangelia Germanou

Aristotle University of Thessaloniki

Nikos Malliaropoulos

Queen Mary University of London

AGAPE PAPALADA

Hellenic Agency for Local Development and Local Government

Cooperative Institutions

Democritus University of Thrace

Hellenic Agency for Local Development and Local Government

University of Nicosia

Queen Mary University of London

William Harvey Research Institute

Mile End Hospital

Barts Health NHS Trust

University School of Physical Education in Wroclaw

Universidad de Londres

United Kingdom Sport

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Poster 81

Archives of Physical Medicine and Rehabilitation (2006)

Evangelia Germanou Paraskevi Malliou Anastasia Beneka Asimenia Gioftsidou Stelios Papalexandris

Repeated measures design

Knee flexion

10.1016/j.apmr.2006.07.226

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180 FUNCTIONAL OUTCOME AFTER MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION WITH HAMSTRING AUTOGRAFT FOR PATELLAR INSTABILITY

Orthopaedic Proceedings (2011)

K. Dogiparthi L. van Niekerk Stelios Papalexandris

The aim of the study was to assess the knee function after MPFL reconstruction with single hamstring autograft. In this case series 86 patients (87 knees) were treated in total, from July 2002 till December 2008. Clinical and radiological evidence of patellar instability and MPFL rupture or deficiency were documented prior to surgery. The MPFL was reconstructed with semitendinosus autograft. The tibial insertion of the graft was retained whereas its free end was rerouted through the most distal part of the medial intermuscular septum, to the supero-medial border of the patella, where it was fixed. Knee function was assessed preoperatively and postoperatively with the use of Kujala, Tegner, Lysholm and International Knee Documentation Committee (IKDC) scores. There were 60 male and 26 female patients with an average age of 29.73 years (median age 28) and range 16–54 years. The mean follow-up was 22.4 months (range 6–78 months). All knee functional scores significantly improved postoperatively. Kujala score improved from 61.3 to 84.8, Tegner score improved from 3 to 5.3, IKDC score improved from 52.4 to 73.8 and Lysholm score improved from 58 to 76.5. The comparison was made between the preoperative and the postoperative values at two years after surgery or at the last follow up, if it was shorter than two years. All scores showed significant improvement after the third postoperative month. One of the patients required revision of the MPFL reconstruction following traumatic redislocation of the patella. Rerouting of the semitendinosus tendon for the reconstruction of the MPFL is an effective method for the treatment of patellofemoral instability. Significant functional improvement is achieved between the third and sixth postoperative months

Medial Patellofemoral Ligament

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The Role of Stretching in Rehabilitation of Hamstring Injuries: 80 Athletes Follow-Up

Medicine & Science in Sports & Exercise (2004)

Nikos Malliaropoulos Stelios Papalexandris AGAPE PAPALADA Emanuel Papacostas

For years, stretching has been an integral part of fitness, practice, and rehabilitation programs to decrease muscle stiffness and relieve pain associated with it. The increased joint range of motion (ROM), indicating the degree of muscle flexibility, has a benefit of stretching proven for healthy tissues.The objective of our study was the assessment of the effects of stretching in the rehabilitation of hamstring injuries.We followed up 80 Greek athletes, of average age 20.5 yr, with "second-degree" strain of the hamstring muscles. The athletes were divided into two groups, A and B. For both groups, we estimated the time required for the rehabilitation of the decreased knee ROM and the total time before the athletes could return to a full training program.Group B, which carried out a more intensive stretching program, was found to have a statistically significant shorter time of regaining normal ROM (5.57 +/- 0.71 d) and rehabilitation period (13.27 +/- 0.71 d) in comparison with group A (7.32 +/- 0.525 d and 15.05 +/- 0.81 d, respectively).Our results suggest that stretching is of great importance in treating muscle strain injuries in that it improves the effectiveness of the rest rehabilitation program.

Static stretching

Strain (injury)

10.1249/01.mss.0000126393.20025.5e

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Citations (166)

Poster 80

Archives of Physical Medicine and Rehabilitation (2006)

Evangelia Germanou Paraskevi Malliou Anastasia Beneka Asimenia Gioftsidou Stelios Papalexandris

10.1016/j.apmr.2006.07.225

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MIDTERM FUNCTIONAL RESULTS AFTER MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION WITH HAMSTRING AUTOGRAFT FOR PATELLOFEMORAL INSTABILITY

Orthopaedic Proceedings (2011)

Stelios Papalexandris K. Dogiparthi L. van Niekerk

Aims: The purpose of the study was to assess the mid-term knee functional results after Medial Patellofemoral Ligament (MPFL) reconstruction with single semitendinosus autograft in patients with patellofemoral instability. Methods and Results: Knee function was assessed in 45 patients (46 knees) who underwent MPFL reconstruction with semitendinosus autograft. The tibial insertion of the semitendinosus was preserved whereas the free end, after stripping of the tendon from the musculo-tendinus junction was rerouted through the most distal part of the medial intermuscular septum proximally to the adductor tubercle, to the superomedial border of the patella, where it was fixed. Clinical and radiological evidence of patellar instability and MPFL rupture or deficiency was documented prior to surgery. Knee function was assessed preoperatively and postoperatively with the use of Kujala, Tegner, Lysholm and International Knee Documentation Committee (IKDC) scores. There were 34 male and 11 female patients with an average age of 32.5 years, ranging from 17 to 60 years. The minimum follow up was 2 years with an average of 33.5 months (range 24–54 months). Fourteen patients (30%) presented a degree of patellofemoral dysplasia. All knee functional scores significantly improved postoperatively. Kujala score improved from 57.7 to 77.1, Tegner score improved from 3.06 to 5.26, IKDC score improved from 51.2 to 75.44 and Lysholm score improved from 58.7 to 79.3. One of the patients required revision of the MPFL reconstruction due to traumatic redislocation of the patella. Conclusions: At a midterm follow-up, reconstruction of the MPFL with rerouting of the semitendinosus tendon is an effective method with improved function in all patients. Maximum improvement was achieved within the first six postoperative months. Heterogeneity of our population may have affected some of our results.

Medial Patellofemoral Ligament

Retinaculum

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