Search Results
Results 451 - 500 of 1227
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Nitkunan Tharani - - 2006
INTRODUCTION: Following failed primary reconstruction, various single-stage reconstructive techniques have been proposed for secondary hypospadias repair. Unfortunately, these frequently fail to achieve a satisfactory cosmetic and functional outcome. We review a single surgeon's experience of two-staged reconstruction in this scenario. PATIENTS AND METHODS: Of 104 patients with hypospadias treated in ...
Ali M Salman - - 2006
INTRODUCTION: We report results of the anterior cruciate ligament reconstruction using a four-strand hamstring graft without detachment of the tibial insertion of the tendons. MATERIAL AND METHODS: In 74 patients the hamstring graft was fixed using an endobutton on the femoral side and a barbed staple on the tibial side. ...
Lin Wei-Ching - - 2006
BACKGROUND: Treatment of acute complete acromioclavicular (AC) dislocation is still controversial. Both non-surgical and surgical methods have been reported with similar results. In addition, once surgical treatment is chosen, a satisfactory surgical technique has not been developed yet. METHODS: Sixty consecutive patients who sustained 60 acute complete AC dislocations were ...
Zerahn Bo - - 2006
PURPOSE: To monitor changes in bone mineral density (BMD) of the proximal tibia and the calcaneus in patients with anterior cruciate ligament (ACL) rupture before and after arthroscopic reconstruction of the ligament, related to clinical data. TYPE OF STUDY: A 2-year prospective cohort study with assessment of patient evaluation of ...
Yasuda Kazunori - - 2006
PURPOSE: To compare the clinical outcome of anatomic double-bundle anterior cruciate ligament (ACL) reconstruction with that of nonanatomic single- and double-bundle reconstructions. TYPE OF STUDY: Prospective comparative cohort study. METHODS: Seventy-two patients with unilateral ACL-deficient knees were randomly divided into 3 groups. Concerning all background factors, there were no statistical ...
MacGillivray John D - - 2006
PURPOSE: Surgical treatment of isolated posterior cruciate ligament (PCL) injuries is controversial. The purpose of this retrospective study was to evaluate the surgical outcomes of PCL reconstruction. Two techniques were compared, the traditional endoscopic and the more recent tibial inlay, to determine if the inlay technique yielded more stable reconstructions. ...
Tambe A D - - 2006
The aim of the study was to see if delay in anterior cruciate ligament (ACL) reconstruction affects post-reconstruction outcome in recreational athletes. Sixty-two recreational athletes who had arthroscopic ACL reconstructions using quadruple hamstring grafts between 1997 and 2000 were retrospectively evaluated. Patients with less than 2 years' follow-up, those with ...
Quinby J Scott - - 2006
BACKGROUND: A new generation of flexible all-inside meniscal repair devices is available, but clinical studies with these devices are lacking. HYPOTHESIS: The RapidLoc has an intermediate-term meniscal healing rate that is equivalent to literature reports of inside-out suture technique in patients undergoing concurrent anterior cruciate ligament reconstruction. STUDY DESIGN: Case ...
Rose Tim - - 2006
PURPOSE: The purpose of this study is to clinically evaluate hamstring tendon anterior cruciate ligament (ACL)-reconstruction using femoral fixation with bioresorbable interference screws and with a bioresorbable transfixation device. HYPOTHESIS: The ACL-reconstruction using the transfixation device at the femoral side leads to less knee laxity and therefore to a better ...
Yoon Kyoung Ho - - 2006
PURPOSE: We describe an anatomic reconstructive surgical procedure that simultaneously reconstructs the fibular collateral ligament, popliteal tendon, and popliteofibular ligament using split Achilles allograft, and compare the clinical results of this technique with those of the posterolateral corner sling procedure for posterolateral instability of the knee. TYPE OF STUDY: Case ...
Garofalo Raffaele - - 2006
PURPOSE: To evaluate the cause of recurrent pathologic instability after anterior cruciate ligament (ACL) surgery and the effectiveness of revision reconstruction using a quadriceps tendon autograft using a 2-incision technique. TYPE OF STUDY: Retrospective follow-up study. METHODS: Between 1999 and 2001, 31 patients underwent ACL revision reconstruction because of recurrent ...
Ho Tang - - 2006
OBJECTIVE: To compare the functional and aesthetic outcomes of radial forearm free flap (RFFF) donor sites reconstructed with full-thickness skin graft (FTSG), split thickness skin graft (STSG) alone, and STSG overlying an acellular dermal matrix (AlloDerm). STUDY DESIGN AND SETTING: A cross-sectional cohort study at a tertiary care hospital. RESULTS: ...
Kotsovolos Elias S - - 2006
PURPOSE: The goal of this prospective study was to evaluate the results of arthroscopic meniscal repair using the FasT-Fix repair system. TYPE OF STUDY: Prospective case series. METHODS: Sixty-one meniscal repairs with the FasT-Fix meniscal repair system in 58 patients with a mean age of 32.6 years were performed between ...
Goradia Vipool K - - 2006
PURPOSE: To identify factors associated with decreased muscle strength and activity after anterior cruciate ligament (ACL) reconstruction with semitendinosus-gracilis tendon (ST-G) grafts. TYPE OF STUDY: Retrospective review. METHODS: Eighty-five patients who underwent ACL reconstruction with ST-G grafts were evaluated at a mean of 44.4 months after surgery. Patients underwent isokinetic ...
Steadman J Richard - - 2006
This study documents outcomes of athletically active, skeletally immature patients with proximal anterior cruciate ligament (ACL) tears treated with a non-reconstructive technique to promote healing ("healing response"). Between 1992 and 1998, 13 skeletally immature athletes with proximal ACL tears underwent a healing response procedure. Patients with previous ACL injury, other ...
Smith I M - - 2006
Despite modern surgical techniques and advanced antimicrobial therapy, osteomyelitis remains a difficult and challenging problem. A 10 year audit study from 1990 to 2000 was carried out to assess the outcome of treatment of chronic osteomyelitis. A total of 41 patients with chronic osteomyelitis (26 male, 15 female with an ...
Ramseier L E - - 2006
The outcome of tibial allograft reconstruction after resection of a tumour is inconsistent and has a high rate of failure. There are few reports on the use of tibial allografts in children with open growth plates. We performed 21 allograft reconstructions (16 osteoarticular, five intercalary) in 19 consecutive patients between ...
Marsh James S - - 2006
Ligamentous injuries to the lateral ankle complex, although rare in the child with open physes, increase with age and are seen with considerable frequency in late childhood and adolescence. In athletic, ligamentously lax individuals, recurrent sprains may lead to ligament attenuation and instability. When instability becomes chronic and interferes with ...
Hoffmann D E - - 2006
The tibial tuberosity advancement (TTA) procedure was developed to treat dogs with cranial cruciate ligament deficient stifles. A retrospective, descriptive study was performed on 57 dogs that underwent unilateral or bilateral TTA. Medical records were reviewed and pre-, postoperative and follow-up radiographs were evaluated for patellar ligament-tibial plateau angle (alpha), ...
Tibesku C O - - 2006
OBJECTIVE: To evaluate the expression of CD44v5 on chondrocytes of hyaline cartilage during the course of osteoarthritis (OA). METHODS: In 12 white New Zealand rabbits the anterior cruciate ligament (ACL) was resected to create an anterior instability of the knee. In 12 control rabbits only a sham operation without resection ...
Tuckman David V - - 2006
PURPOSE: The purpose of this study was to determine the success rate of meniscal repair achieved in our sports medicine practice, particularly with interest in characterizing the outcomes observed with the newer all-inside repair devices. TYPE OF STUDY: Retrospective chart review with telephone follow-up. METHODS: 157 patients that had undergone ...
Mandal A - - 2006
The Edinburgh experience of different methods of otoplasty techniques in 203 patients (406 ears) over a five-year period is reviewed. The patients were divided into three groups - Group A (anterior cartilage scoring), Group B (cartilage sparing in the fashion of posterior suturing) and Group C (posterior suturing refined with ...
Church S - - 2005
We reviewed 183 patients who had undergone reconstruction of the anterior cruciate ligament. The incidence of meniscal tears and degenerative change was assessed and related to the timing from injury to surgery. Degenerative change was scored using the French Society of Arthroscopy system. The patients were divided into an early ...
Amin A A - - 2006
We report our experience of using autologous chondrocyte implantation (ACI) to treat osteochondral defects of the knee in combination with anterior cruciate ligament (ACL) reconstruction. The outcome of symptomatic osteochondral lesions treated with ACI following previous successful ACL reconstruction is also reviewed. Patients were followed for a mean of 23 ...
Raikin Steven M SM Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA. - - 2005
Chronic exertional compartment syndrome (CECS) occurs bilaterally in approximately 60% of patients. Fasciotomy is the primary corrective treatment. We hypothesized that bilateral fasciotomy can be done during the same operative procedure with early return to sports and low complication rates Sixteen patients had simultaneous bilateral lower extremity fasciotomies for CECS ...
Friemert B - - 2006
Anterior cruciate ligament (ACL) ruptures lead to a proprioceptive deficit and therefore joint position sense. This study examined whether active motion is better suited than passive motion to address this deficit. Sixty patients with ACL rupture were prospectively randomised into two groups [continuous active motion (CAM)/continuous passive motion (CPM)]. All ...
Svensson Michael - - 2006
The aim of the study is to compare the results after arthroscopic anterior cruciate ligament (ACL) reconstruction using central-third, bone-patellar tendon-bone (BTB group) (n = 28) and four-strand semitendinosus/gracilis (ST/G group) (n = 31) autografts in female patients. The type of study was non-randomised prospective consecutive series. A consecutive series ...
Kocher Mininder S - - 2005
BACKGROUND: The management of anterior cruciate ligament injuries in skeletally immature patients is controversial. Conventional adult reconstruction techniques risk potential iatrogenic growth disturbance due to physeal damage. The purpose of this study was to evaluate the results of a physeal sparing, combined intra-articular and extra-articular reconstruction technique in prepubescent skeletally ...
Frosch K H - - 2005
INTRODUCTION: Total meniscus resection usually leads to osteoarthritis of the knee joint. Preservation and refixation of the injured menisci are therefore of great clinical importance. MATERIALS AND METHODS: The present study examines 40 meniscal injuries in 37 patients that were arthroscopically treated with Clearfix meniscal screws (Mitek, Norderstedt, Germany) in ...
Fauno Peter P Department of Orthopaedic Surgery, Randers Central Hospital, Randers, - - 2005
To compare the incidence of tunnel widening (TW) in patients undergoing anterior cruciate ligament (ACL) reconstruction with hamstring graft using either (group A) transfemoral fixation implant (Transfix; Arthrex, Naples, FL) and an interference screw (Arthrex) in the tibial tunnel or (group B) extracortical fixation (EndoButton; Smith & Nephew Endoscopy, Andover, ...
Kim Sung-Gon - - 2005
The purpose of this study was to investigate the risk factors regarding anterior cruciate ligament (ACL) reconstruction using autogenous semitendinosus tendon by subjective evaluation of the patients. We studied 63 patients who had been followed for 18 months or longer after surgery. They comprised 31 men and 32 women aged ...
Koh Jason - - 2005
As many as 175,000 anterior cruciate ligament (ACL) reconstructions are performed annually in the United States at a cost >1 billion dollars. Estimates of the rate of revision surgery are as high as 10%-20%, potentially resulting in as many as 35,000 revisions a year. In addition, errors that are not ...
Valentin Peter - - 2005
Growing participation in sports activities over recent years has increased the number of anterior cruciate ligaments (ACL) injuries. Thus, more surgeons became active in this field, leading to a high incidence of transplant failure. In the past 2 1/2 years, 235 patients were treated through navigated ACL reconstruction with semitendinosus-gracilis ...
Kim Sung-Gon SG Department of Orthopaedics, Juntendo University, 2-1-1 Hongo, Tokyo, Japan. - - 2006
The goal of this study is to establish the influence of tensioning the graft during anterior cruciate ligament (ACL) reconstruction, with a semitendinosus tendon graft, on postoperative stability. Prospective controlled clinical trial. Forty-eight patients were randomly allocated to three groups in which three different tensions, 8, 12, or 15 kg ...
Schenk Siegfried - - 2006
This study reviews the long-term results of acute complete femoral tears or combined femoral (2/3 of the ligament diameter) /interstitial tears of the anterior cruciate ligament (ACL) that were reinserted. Out of 27 patients, 11 were treated with reinsertion plus augmentation with single-stranded semitendinosus tendon, 16 patients had a reinsertion ...
Hirsh L - - 2005
The medical records, radiographs and operative reports of ten consecutive patients of average age 37 (range 19-67) years with wrist pain secondary to structural disruption of the scapholunate interosseous ligament (Geissler Type 2 injuries) who were treated with wrist arthroscopy and electrothermal collagen shrinkage of the scapholunate interosseous ligament were ...
Borggreven Pepijn A - - 2005
BACKGROUND: The aim of the study was to analyze speech outcome for patients with advanced oral/oropharyngeal cancer treated with reconstructive surgery and adjuvant radiotherapy. METHODS: Speech tests (communicative suitability, intelligibility, articulation, nasality, and consonant errors) were performed in a control group and in patients before treatment (n = 76), and ...
Sekiya Jon K - - 2005
PURPOSE: The purpose of this study was to evaluate the clinical outcomes after arthroscopic single-bundle posterior cruciate ligament (PCL) reconstruction in patients with isolated grade III PCL injuries. TYPE OF STUDY: Retrospective review. METHODS: Twenty-one patients who underwent an isolated arthroscopic single-bundle PCL reconstruction for the treatment of a grade ...
Jung Young-Bok - - 2005
BACKGROUND: The tibial inlay method for reconstruction of the posterior cruciate ligament has been performed with the patient in the prone or lateral decubitus position. The purpose of this report is to present a modification of this method wherein the patient is positioned supine throughout the procedure. METHODS: Between May ...
Beadel Gordon P - - 2005
Iliosacral resection for primary bone tumors creates a large unstable pelvic ring defect, the treatment of which remains controversial. We did this study to determine if skeletal reconstruction of such defects is necessary. Sixteen patients whose data were collected prospectively had iliosacral resection with a minimum followup of 12 months. ...
Ozenci A Merter - - 2005
BACKGROUND: Radiofrequency treatment is increasingly used to treat shoulder instability. Patients are asked to restrain their physical activities after this treatment but there is no precise information concerning the necessity for the restrain. METHODS: There were two groups of ten specimens each. Treatment group specimens were stretched to subfailure injury, ...
Durán Giménez-Rico Hipólito - - 2005
INTRODUCTION AND OBJECTIVES: Despite the criticisms from prestigious expert committees, a high percentage of surgeons continue to use, as the technique-of-choice, Hartmann's procedure for acute malignant intestinal obstruction of the distal colon and rectum, without faecal peritonitis. We have reviewed our results with this technique and compared them with other ...
Laxdal Gauti - - 2005
PURPOSE: The aim of the study was to assess the outcome and risk factors after anterior cruciate ligament (ACL) reconstruction in a large group of patients. TYPE OF STUDY: Case series. METHODS: Included in this retrospective study were 948 patients (323 female, 625 male) with a symptomatic unilateral ACL rupture, ...
Thompson Joel - - 2005
We reviewed the literature for reports on anterior knee pain and function after endoscopic single-incision anterior cruciate ligament reconstruction. The risk for developing a range-of-motion extension deficit of more than 3 degrees 2 years after surgery was 62% higher for patients who underwent a patellar tendon procedure than for patients ...
Spindler Kurt P - - 2005
BACKGROUND: We are not aware of any previous studies in which independent measurements of function with validated outcome questionnaires such as the Knee Injury and Osteoarthritis Outcome Score and the International Knee Documentation Committee score were evaluated five years after reconstruction of the anterior cruciate ligament. We hypothesized that patient ...
Ahn Jin Hwan - - 2005
PURPOSE: The purpose of this study was to compare clinical results of arthroscopic posterior cruciate ligament (PCL) reconstructions using double-loop hamstring tendon autograft and Achilles tendon allograft while preserving the original PCL remnant. TYPE OF STUDY: Case-control study of results of treatment. METHODS: From September 1997 to December 2000, 36 ...
Barrett Gene - - 2005
BACKGROUND: Anterior cruciate ligament reconstruction is the recommended treatment for patients of all ages who are involved in sports and have symptoms of knee instability. HYPOTHESIS: In patients older than 40 years, allograft reconstruction will have better subjective and objective results than autograft reconstruction, proving allograft to be a better ...
Grant John A - - 2005
BACKGROUND: Because of health care funding and policy changes, there is a need to examine the effects of an evolution toward patient-directed (ie, home-based) rehabilitation programs on clinical outcomes of patients undergoing anterior cruciate ligament reconstruction. HYPOTHESIS: There will be no difference in the effectiveness of a home-based rehabilitation program ...
Lee Gregory P - - 2005
BACKGROUND: An increased awareness of the degenerative changes that occur in the knee after meniscectomy has led to efforts to salvage the injured meniscus. Numerous devices have been developed in an effort to provide the dual benefits of a durable meniscal repair and minimal invasiveness. HYPOTHESIS: The Meniscus Arrow is ...
Drogset Jon Olav JO Department of Orthopaedics, University Hospital in Trondheim, N-7006 Trondheim, Norway. - - 2005
During the past decade, bioabsorbable interference screws have become increasingly popular in endoscopic reconstructions of the anterior cruciate ligament. With these screws, there is no need for a second operation for removal and no complicating factor if later revision surgery is necessary. Several pullout studies have found similar results between ...
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