The purpose of this study was to document the relationship between a discoid lateral meniscus and a thickened Wrisberg ligament with a higher location on the medial femoral condyle.Between July 2002 and February 2006, 100 consecutive patients who had a complete lateral discoid meniscus and another 100 patients without a ...

Tunnel enlargement is a frequent issue after ACL reconstruction and the "synovial bathing effect" is thought to be among the biological factors contributing to this phenomenon. Since the amount and the pressure of the synovial fluid inside the knee joint are higher and the length of its presence is longer ...

OBJECTIVE: Since a known growth-of-cartilage framework is used for reconstruction of microtia under the Brent technique, we set out to address the behavior of the framework under the Nagata technique. DESIGN: A retrospective analysis of costal cartilage auricular reconstruction procedures. PATIENTS: A total of 28 patients who underwent costal cartilage ...

Although allograft use for primary anterior cruciate ligament reconstruction has continued to increase during the last 10 years, concerns remain regarding the long-term function of allografts (primarily that they may stretch with time) and clinical efficacy compared with autograft tendons. We attempted to address these issues by prospectively comparing identical ...

BACKGROUND: Revision of an anterior cruciate ligament reconstruction is a complicated and delicate clinical procedure whose results, theoretically, are less satisfactory than those of the first operation. HYPOTHESIS: The outcome of a revised anterior cruciate ligament surgery is comparable to primary anterior cruciate ligament reconstruction, with a rate of success ...

BACKGROUND: The association of early knee joint laxity with the need for later reconstruction of the anterior cruciate ligament has not been extensively studied. HYPOTHESIS: The grade of knee laxity can be used as an early predictor of the need for later reconstruction. STUDY DESIGN: Cohort study (prognosis); Level of ...

The purpose of this study was to evaluate the clinical results of simultaneous arthroscopically assisted reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) using autogenous tendon grafts in chronic knee injuries. Nineteen patients (17 men and 2 women) with chronic multi-ligamentous injuries underwent one-stage ACL and PCL ...

AIMS: To evaluate the possibility of providing every patient with dental rehabilitation after segmental resections and primary jaw reconstructions. MATERIALS AND METHODS: Ninety-five consecutive patients, followed for more than 1 year, were retrospectively evaluated without any exclusions, using the patients' records. RESULTS: 1) Forty percent received dental substitutes after a ...

OBJECTIVE: The present study evaluated the efficacy of Roux-en-Y (R-Y) reconstruction and Billroth-I (B-I) reconstruction after laparoscopy-assisted distal gastrectomy (LADG). PATIENTS AND METHODS: Between October 2000 and February 2006, a total of 133 consecutive patients who underwent LADG for gastric carcinoma were classified into 2 groups according to reconstruction (B-I, ...

Since their first review of microsurgical correction of facial contour deformities in 19 patients with craniofacial malformations, the authors have treated an additional 74 patients (n = 93). The authors review indications, choices, safety, efficacy, complications, and technical refinements. A treatment algorithm is presented. A retrospective chart review of all ...

BACKGROUND: A quasi-experimental retrospective study was undertaken to evaluate a new concept of free tissue volume restoration combined with bridging reconstruction plate (compartment approach) to reduce plate-related complication rates. METHODS: We evaluated 40 patients with large lateral mandible defects and associated complex soft tissue defects reconstructed with a revascularized soft ...

We evaluated the results of anterior cruciate ligament (ACL) reconstruction using an Achilles tendon allograft in revisions and in patients older than 30. Results from 23 consecutive patients (mean age, 43 years) who underwent ACL reconstruction with fresh-frozen, irradiated (22/23) Achilles allografts were retrospectively reviewed. Seven cases were revisions. Patients ...

PURPOSE: OMS103HP, an investigational drug product containing ketoprofen, amitriptyline, and oxymetazoline, is added to arthroscopic irrigation solution. OMS103HP was evaluated in patients undergoing arthroscopic anterior cruciate ligament reconstruction to assess the drug's safety and ability to improve postoperative knee function and motion, reduce postoperative pain, and allow earlier return to ...

BACKGROUND: Several trials have been conducted to compare the clinical results between anatomic double-bundle and single-bundle anterior cruciate ligament (ACL) reconstruction procedures. In these studies, however, the number of patients was insufficient to compare the clinical results of the 2 procedures. HYPOTHESIS: The anatomic double-bundle procedure may be significantly better ...

BACKGROUND: Despite therapeutic advances for major depression, a subset of patients with this disorder does not respond to conventional treatment. Stereotactic ablative procedures such as anterior cingulotomy have been performed in severely affected, treatment-resistant patients, but the long-term results of such procedures are not fully understood. METHODS: Findings are reported ...

PURPOSE: The goal of this study was the clinical evaluation of arthroscopic meniscal repair results with the use of 3 different repair devices. METHODS: From 2001 to 2006, 265 patients underwent 280 meniscal repairs (RapidLoc [DePuy Mitek, Raynham, MA] in 88 patients, T-Fix [Acufex Microsurgical, Mansfield, MA] in 85 patients, ...

PURPOSE: This study was undertaken to document the clinical results and technical aspects of arthroscopic partial meniscectomy in conjunction with peripheral tear repair for the treatment of symptomatic discoid lateral meniscus in children. METHODS: From June 1998 to May 2005, the senior author (J.H.A.) performed arthroscopic surgery on 77 children ...

The structure and functional relationship of polymers have long been the purview of engineers and polymer chemists. Bioabsorbable fixation devices have been used for decades as dissolvable suture meshes and, recently, routinely by orthopedic surgeons. During the past decade, bioabsorbable fixation systems have become available for use by craniomaxillofacial surgeons ...

ACL-reconstruction aims to restore joint stability and prevent osteoarthritis; however, malfunction and osteoarthritis are often the sequelae. Our study asks whether ACL-reconstruction or conservative treatment lead to better long-term results. In this retrospective cohort study, 136 patients with isolated ACL-rupture who had been treated by bone-ligament-bone transplant or conservatively were ...

Fronto-orbital reconstruction is the standard of care for repair of unilateral coronal synostosis. This study examined the relationship between age at initial surgery and need for secondary surgery, to determine the optimal age for reconstruction. The series comprised 81 patients with unicoronal synostosis who underwent reconstruction over a 30-year period ...

PURPOSE: The purpose of this study was to test a new method of harvesting semitendinosus tendon during anterior cruciate ligament reconstruction that would allow an anatomic reinsertion of the regenerated tendon and minimize postoperative internal rotation strength loss. METHODS: We prospectively selected 35 patients surgically treated for anterior knee instability. ...

OBJECTIVE: Dartos flap coverage is routinely used as a protective layer during tubularized incised plate urethroplasty (TIPU) except when an associated foreskin reconstruction (FSR) precludes its use. In this study we compare the outcome of distal hypospadias repair with and without foreskin reconstruction by the same surgeon. MATERIALS AND METHODS: ...

PURPOSE: Our purpose was to determine the optimal treatment of anterior cruciate ligament (ACL) rupture in patients aged 40 years or older. METHODS: Our method was expected-value decision analysis with sensitivity analysis, which is a systematic tool for quantitating clinical decisions. We evaluated 100 randomly selected individuals aged 40 years ...

PURPOSE: Postoperative loss of motion after anterior cruciate ligament (ACL) reconstruction can lead to suboptimal outcomes. Short-term low-dose oral corticosteroids are an option for nonsurgical management of this condition. The purpose of this study is to retrospectively review a series of patients treated with a single Medrol Dosepak (MDP) (Pfizer, ...

PURPOSE: The purpose of this study was to evaluate the clinical success rate of all-inside meniscal repairs using a rapidly absorbing device in patients undergoing concurrent anterior cruciate ligament (ACL) reconstructions. METHODS: Patients with menisci repaired using the polydioxanone Mitek RapidLoc (Depuy Mitek, Raynham, MA) during concurrent ACL reconstruction were ...

PURPOSE: The purpose of this study was to prospectively assess the outcome of hamstring autograft anterior cruciate ligament (ACL) reconstruction by use of identically shaped bioabsorbable and titanium interference screws in a randomized trial. METHODS: One hundred patients were randomized to have either bioabsorbable or titanium interference screws used for ...

Many papers have been published on surgical mandibulectomy and reconstruction. However, only a few reports refer to masticatory function after prosthodontic treatment in mandibulectomy patients. The aim of this study was to investigate the masticatory function of mandibulectomy patients. Twenty-three subjects (10 males and 13 females, with an average age ...

Pre-clinical studies have shown that treatment by pulsed electromagnetic fields (PEMFs) can limit the catabolic effects of pro-inflammatory cytokines on articular cartilage and favour the anabolic activity of the chondrocytes. Anterior cruciate ligament (ACL) reconstruction is usually performed by arthroscopic procedure that, even if minimally invasive, may elicit an inflammatory ...

We describe a novel technique of total vesico-urethral reconstruction, which combines the tactics of previous surgeons, and compare the outcome of our innovative changes for return to early continence with prostatectomies with no or partial reconstruction of the vesico-urethral junction. Between 1 January 2005 and 5 June 2007 a cohort ...

OBJECTIVE: To analyze retrospectively the outcomes of primary as well as secondary functional reconstructions in 49 patients with traumatic brachial plexus lesions from a single service. Guidelines for treatment might be extracted from this analysis. METHODS: Among 152 cases of traumatic lesion of the brachial plexus presented to our clinic, ...

To clarify the neuro-muscular function of a lower extremity after reconstruction of anterior cruciate ligament (ACL), we studied the alteration of H reflex and Silent period (SP) from the soleus muscle in a patient with ACL reconstruction. Subject was an eighteen year-old male and high school basketball player after a ...

INTRODUCTION: It is difficult to counsel the anterior cruciate ligament (ACL) deficient patient considering surgical reconstruction on the likelihood of eventual return to sports as information on this is lacking, especially in the Asian context. We wanted to determine how many of our patients who had ACL surgery returned to ...

PURPOSE: The purpose of this study was to prospectively evaluate the midterm results (beyond 2 years) of thermal shrinkage on both lax native anterior cruciate ligament (ACL) and lax reconstructions and determine the effectiveness of this procedure. METHODS: This is a multicenter study in which 64 patients from 2 sites ...

PURPOSE: The purpose of this study was to evaluate change in meniscal allograft extrusion during the first year after meniscus allograft transplantation (MAT) by use of serial magnetic resonance imaging (MRI). METHODS: Twenty-three consecutive patients who underwent MAT between June 2002 and March 2006 with total or subtotal meniscectomy of ...

BACKGROUND: Complete proximal hamstring avulsions can cause considerable morbidity and are often associated with significant functional loss. HYPOTHESIS: Early surgical treatment leads to better results than does surgery in the chronic phase. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Forty-one patients (21 men and 20 women) with a ...

BACKGROUND: Isolated meniscal tears in the skeletally immature patient are infrequent but well-recognized injuries. Although few studies have evaluated the pediatric and adolescent population, arthroscopic surgical repair remains the standard of care for patients in this age group with unstable meniscal tears. PURPOSE: To review our results of arthroscopic repair ...

PURPOSE: This retrospective study describes the clinical features and management of noma (cancrum oris) in patients with HIV and AIDS. PATIENTS AND METHODS: Records of 48 consecutive patients with noma (cancrum oris) seen between July 2002 and November 2006 were reviewed for age, gender, clinical features, and management. Other reports ...

This study assessed medial patellofemoral ligament reconstruction using a partial-thickness quadriceps tendon graft in 14 knees in 13 patients. Nine patients were available for follow-up after a minimum of 24 months. Final patient evaluation was performed an average of 42 months postoperatively (range, 28-65 months). Primary outcome measure was occurrence ...

PURPOSE: We describe a homodigital neurovascular island flap for reconstructing large pulp defects of the fingertips and review the short-term and long-term appearance and function of the reconstructed fingertips. METHODS: The spiral flap is a homodigital neurovascular island flap with a unique spiral advancement and transposition design that allows pulp ...

We investigated patients undergoing arthroscopic anterior cruciate ligament (ACL) reconstruction using otogenous hamstring tendons with a cross-pin technique to compare a post-operative home-based rehabilitation programme with a clinic-based programme. ACL reconstruction was performed on 104 patients (103 male) by the same surgeon. The mean age of the patients was 31.5 ...

PURPOSE: The purpose of our study was to compare the technical difficulties and the results of the use of two different types of femoral graft fixation for medial patellofemoral ligament reconstruction in patients with patellar luxation. METHODS: Twenty-four matched pair patients, assigned to two groups of 12 patients each, underwent ...

The aim of this paper was to evaluate the complications of patients with benign parotid disease treated by modified parotidectomy through conserving the sub-superficial musculoaponeurotic system (sub-SMAS), great auricular nerve (GAN), and reconstruction by sternocleidomastoid flap (SF). Between 1997 and 2001, 226 patients with benign parotid disease were operated. Patients ...

The aim of this study was to identify a preferable procedure reducing the incidence of delayed gastric emptying (DGE) after pylorus-preserving pancreatoduodenectomy (PPPD). Data on 132 consecutive patients with pancreatobiliary disease, who underwent PPPD, were collected retrospectively. A retrocolic Billroth I type reconstruction (B-I group) and an antecolic Roux-en Y ...

BACKGROUND: Although several techniques have been described for total lower-lip reconstruction, it is still a major reconstructive challenge, which often requires lengthy and risky microsurgical procedures. PURPOSE: Here, we present a new local procedure, namely, bilateral musculocutaneous unequal-Z procedure for functional reconstruction of total lower-lip defects. MATERIAL AND METHODS: In ...

PURPOSE: Biomechanical studies show increased anterior and rotational stability with double-bundle (DB) compared to single-bundle (SB) anterior cruciate ligament (ACL) reconstruction. The aim of this study was to evaluate the clinical results of four-tunnel DB ACL reconstruction. METHODS: Seventy patients undergoing arthroscopic hamstring ACL reconstruction were prospectively randomized to DB ...

PURPOSE: The purpose of this prospective randomized study was to assess biomechanical, radiographic, and functional results after single-bundle anterior cruciate ligament (ACL) reconstruction by use of a navigation system. METHODS: ACL reconstruction was performed by use of the OrthoPilot navigation system (B. Braun-Aesculap, Tuttlingen, Germany) in 40 patients (group 1); ...

INTRODUCTION: Use of the omentum for poststernotomy mediastinitis is typically viewed as a last resort. Formal debridement and muscle flap coverage is sufficient most of the time; however, there are situations when the omental flap is more appropriate. The purpose of this series is to critically evaluate the outcome in ...

The authors retrospectively compared the results of postoperative speech and swallowing in patients who had undergone hemiglossectomy for carcinoma of the anterior tongue. Immediate reconstruction in 16 patients was with a free radial forearm flap and in another 16 with an anterolateral thigh flap. Clinical speech pathology evaluation included the ...

PURPOSE: The purpose of this study was to analyze the clinical results of anterior cruciate ligament (ACL) reconstruction with the remnant-preserving technique by use of a hamstring graft and looped sutures according to the amount of the tibial remnant of the ACL. METHODS: Sixteen subjects had undergone ACL reconstruction with ...

BACKGROUND: There is a common belief that surgical reconstruction of an acutely torn anterior cruciate ligament (ACL) should be delayed for at least 3 weeks because of the increased incidence of postoperative motion loss (arthrofibrosis) and suboptimal clinical results. HYPOTHESIS: There is no difference in postoperative range of motion or ...