TY - JOUR AU - Csete, Károly AU - Baráth, Bálint AU - Sándor, Lilla AU - Holovic, Helga AU - Mátrai, Péter AU - Török, László AU - Hartmann, Petra TI - Does Combined Reconstruction of the Medial Collateral and Anterior Cruciate Ligaments Provide Better Knee Function? A Systematic Review and Meta-Analysis JF - JOURNAL OF CLINICAL MEDICINE J2 - J CLIN MED VL - 13 PY - 2024 IS - 13 PG - 12 SN - 2077-0383 DO - 10.3390/jcm13133882 UR - https://m2.mtmt.hu/api/publication/35135168 ID - 35135168 N1 - * Megosztott szerzőség AB - Objective: This study aimed to determine if medial collateral ligament reconstruction (MCLR) alongside anterior cruciate ligament reconstruction (ACLR) preserves knee functionality better than isolated ACLR in combined ACL and MCL tears. Methods: MEDLINE, EMBASE, Scopus, CENTRAL, and Web of Science were searched systematically on 31 March 2023. Studies reporting post-operative function after ACLR and ACLR + MCLR in combined injuries were included. Outcomes included International Knee Documentation Committee (IKDC) score, side-to-side difference (SSD), Lysholm, and Tegner scale values. Results: Out of 2362 papers, 8 studies met the criteria. The analysis found no significant difference in outcomes (MD = 3.63, 95% CI: [-5.05, 12.3] for IKDC; MD = -0.64, 95% CI: [-3.24, 1.96] for SSD at 0° extension; MD = -1.79, 95% CI: [-4.61, 1.04] for SSD at 30° extension; MD = -1.48, 95% CI: [-16.35, 13.39] for Lysholm scale; MD = -0.21, 95% CI: [-4.29, 3.87] for Tegner scale) between treatments. Conclusions: This meta-analysis found no significant difference in outcomes between ACLR and ACLR + MCLR, suggesting that adding MCLR does not provide additional benefits. Due to the heterogeneity and quality of the included studies, further high-quality randomized controlled trials are needed to determine the optimal treatment for combined severe MCL-ACL injuries. LA - English DB - MTMT ER - TY - JOUR AU - Kurokawa, Takayuki AU - Csete, Károly AU - Jávor, Péter János AU - Sándor, Lilla AU - Baráth, Bálint AU - Holovic, Helga AU - Török, László AU - Hartmann, Petra TI - Anterior cruciate ligament reconstruction in the elderly: 5-Year follow-up study JF - INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED J2 - INJURY VL - 55 PY - 2024 IS - Suppl. 3 PG - 7 SN - 0020-1383 DO - 10.1016/j.injury.2024.111529 UR - https://m2.mtmt.hu/api/publication/35419480 ID - 35419480 AB - Background Older adults remain active for longer and continue sports and activities that require rotation on one leg later in life. The rate of anterior cruciate ligament (ACL) tears is therefore increasing in those over 40 years old, with an associated increase in the rate of surgical reconstruction (ACLR), but there is limited literature on its effectiveness. Our aim was to compare the outcomes of elderly patients who have undergone ACLR with those of a younger group of patients. Materials and Methods Patients who underwent ACLR with bone-patella tendon-bone grafting (BPTB) at a level I trauma center between 2015 and 2017 were included in the study with a 5-year follow-up. Patients were divided into 4 groups: below 40 years, 40–49 years, 50–59 years and over 60 years. The graft function was evaluated by the International Knee Documentation Committee (IKDC) Objective Score, the anteroposterior (AP) displacement was measured by arthrometer (KT-1000; MEDMetric) and the Lysholm scale was used for subjective evaluation. Results 195 patients were included in the final analysis. The IKDC score showed significantly poorer scores in the 50–59 years and over 60 years group than in the younger groups, however in 83 % and 66 % of cases reached normal or nearly normal grades, respectively. A significant difference was found in the knee AP displacement (measured in mm) between the below 40 years group and 50–59 years as well as over 60 years old groups; however, the number of graft failure (laxity >5 mm) and elongation (>3 mm) did not increased in these senior groups. The patient-reported Lysholm scores in the 40–49 years, 50–59 years and 60 years groups was lower than in the below 40 years group, but the average score was “good”. Conclusions The long-term results of ACL reconstruction in older athletes are comparable to those of younger patients, both in terms of knee function and patient satisfaction. Furthermore, there is no difference in outcomes for older patients over the age of 40 compared to those in their 50 s or even 60 s. There is still insufficient published evidence to define an upper age limit for ACL reconstruction in older athletes. LA - English DB - MTMT ER - TY - GEN AU - Gárgyán, István AU - A., Mácsai AU - Csete, Károly AU - Varga, Endre TI - Emergency healtcare access for unregisterred migrants in Hungary PY - 2018 UR - https://m2.mtmt.hu/api/publication/3387062 ID - 3387062 N1 - [Előadás] LA - English DB - MTMT ER - TY - GEN AU - Csonka, Endre AU - Bánki, László AU - C., Gombár AU - T., Tasi AU - Csete, Károly AU - Sádt, Zoltán AU - Vági, Zsolt TI - 3D printed PSI targeting - How we do it in reconstruciton surgery? PY - 2018 UR - https://m2.mtmt.hu/api/publication/3387064 ID - 3387064 LA - English DB - MTMT ER - TY - JOUR AU - Fetter, Gábor AU - Csete, Károly AU - Simonka, János Aurél AU - Böröndy, János AU - Hamar, Sándor AU - Varga, Endre TI - Os capitatumban elhelyezkedő osteoid osteoma okozta csuklótáji fájdalom (Esetismertetés) JF - MAGYAR TRAUMATOLÓGIA ORTOPÉDIA KÉZSEBÉSZET PLASZTIKAI SEBÉSZET J2 - MAGYAR TRAUMATOLÓGIA ORTOPÉDIA KÉZSEBÉSZET PLASZTIKAI SEBÉSZET VL - 57 PY - 2014 IS - 4 SP - 199 EP - 203 PG - 5 SN - 1217-3231 DO - 10.21755/MTO.2014.057.0004.004 UR - https://m2.mtmt.hu/api/publication/32887788 ID - 32887788 LA - Hungarian DB - MTMT ER - TY - GEN AU - Csete, Károly AU - Török, László AU - Böröndy, János AU - Gárgyán, István AU - Varga, Endre TI - Arthroscopos segítség a proximalia tibia impressziós töréseinél PY - 2013 UR - https://m2.mtmt.hu/api/publication/2571238 ID - 2571238 N1 - [Előadás] LA - Hungarian DB - MTMT ER - TY - GEN AU - Gárgyán, István AU - Csonka, Ákos AU - Csete, Károly AU - Morvai, Ákos TI - Bicondylaris tibia plateau törések kettős lemezelése PY - 2012 UR - https://m2.mtmt.hu/api/publication/2571212 ID - 2571212 N1 - [Előadás] LA - Hungarian DB - MTMT ER - TY - GEN AU - Gárgyán, István AU - Simonka, János Aurél AU - Szabó, Attila AU - Horváth, Attila AU - Körmöndi, Sándor Pál AU - Csete, Károly TI - Tibia törések kezelése Proximális Laterális Tibia LISS implantátummal PY - 2012 UR - https://m2.mtmt.hu/api/publication/2571214 ID - 2571214 N1 - [Előadás] LA - Hungarian DB - MTMT ER -