BACKGROUND: Despite a lack of evidence for their effectiveness, functional knee braces are commonly prescribed to patients after anterior cruciate ligament (ACL) reconstruction. PURPOSE: This trial was conducted to compare postoperative outcomes in patients using an ACL functional knee brace and patients using a neoprene knee sleeve. HYPOTHESIS: Patients using ...

ABSTRACT: OBJECTIVE: The objective of this study was to evaluate the incidence of radiographic osteoarthritis in the operated knee in comparison with the contralateral knee ten years after a bone-tendon bone patellar autograft ACL-reconstruction and to evaluate to which level patients regain activity ten years after reconstruction. METHODS: Fifty-three patients ...

OBJECTIVE: To assess functional outcome in dogs with cranial cruciate ligament (CrCL) disease after tibial tuberosity advancement (TTA) using force plate gait analysis, and to evaluate parameters potentially influencing outcome. STUDY DESIGN: Prospective clinical study. ANIMALS: Consecutive clinical patients (n = 37) with CrCL-deficient stifles (n = 40). METHODS: The ...

BACKGROUND: The central third of the patella tendon is probably the most common ACL graft material because the bone tendon bone (BTB) construct provides robust graft incorporation and a mechanically sufficient substitute. Metal and bioabsorbable interference screws ensure good initial fixation strength of the bone plug. MATERIAL AND METHODS: A ...

The aim of this study was to investigate whether gender, age, stable personality traits, associated meniscus and/or articular cartilage injuries, treatment (non-operative or reconstructive surgery), additional subsequent trauma to the anterior cruciate ligament (ACL)-injured knee and activity level before injury affect the intermediate outcome after ACL injury. The primary outcome ...

Two-year safety and efficacy data were presented to the Canadian Therapeutic Products Directorate Scientific Advisory Panel, in Ottawa, Ontario, Canada. The 955 women enrolled in the 10-year, multicenter, Mentor MemoryGel study were distributed into four cohorts: 572 augmentation patients, 123 revision-augmentation patients, 191 reconstruction patients, and 69 revision-reconstruction patients. The ...

PURPOSE: The purpose of this prospective study was to define the relation between the integrity of cross-pin femoral fixation and stability after anterior cruciate ligament (ACL) reconstructions. METHODS: Thirty-one consecutive ACL reconstructions were performed with hamstring tendons fixed with bioabsorbable cross-pin femoral fixation. All patients underwent magnetic resonance imaging at ...

BACKGROUND: Free flap reconstruction of head and neck cancer defects is complex with many factors that influence perioperative complications. The aim was to determine if there was an association between perioperative variables and postoperative outcome. METHODS: We evaluated 185 patients undergoing free flap reconstruction following ablation of head and neck ...

PURPOSE: To review the functional and radiological results of patients after coracoclavicular ligament reconstruction. METHODS: Five patients aged 21 to 50 (mean, 37) years with acute Rockwood type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous gracilis tendon grafts. Patients were either active in sports or heavy manual workers. Assessments ...

PURPOSE: The aim of this study was to evaluate whether a change in the femoral graft insertion site between the 1-o'clock (high) and 2-o'clock (low) positions could change the laxity, the score on the 2000 International Knee Documentation Committee (IKDC) Knee Examination Form, or the score on the 2000 subjective ...

PURPOSE: The purpose of this study was to evaluate our method of surgical treatment of traumatic knee dislocation, by use of a standardized protocol, and to report our clinical results. METHODS: Thirty-six consecutive patients presented with a grossly dislocated or reduced knee. Ten of these patients were not included in ...

PURPOSE: To evaluate the long-term outcomes following arthroscopic-assisted anterior cruciate ligament (ACL) reconstruction using fresh-frozen allogeneic tendon. METHODS: Sixty-one athletically active patients (mean age at surgery, 20.9 years) who had arthroscopic-assisted ACL reconstruction using fresh-frozen free tendon allograft underwent physical examination, instrumented laxity measurement, radiographs, and thigh muscle strength at ...

PURPOSE: We sought to evaluate the functional and radiographic outcome of osteochondral lesions involving the femoral condyle that were arthroscopically repaired via a bioabsorbable fixation device made of self-reinforced poly-L-lactic acid. METHODS: A retrospective clinical and radiographic evaluation of 9 patients (8 male and 1 female) with a mean age ...

PURPOSE: The purpose of this study was to evaluate the mid-term results of the Elmslie-Trillat procedure for the treatment of patella instability. Patella instability can be addressed by proximal, distal, and combined approaches. The Elmslie-Trillat procedure is a combined bony distal realignment with medial soft tissue technique offering a more ...

OBJECTIVES: To evaluate long-term durability and clinical success of deep venous reconstruction for severe chronic venous insufficiency as a part of routine workload at a university vascular surgery department. STUDY DESIGN: Retrospective analysis of clinical series. PATIENTS: Between 1996 and 2000, 43 patients underwent deep venous reconstruction, and 38 were ...

Much research has been done to determine clinical and demographic variables associated with outcomes from arthroscopic partial meniscectomy for meniscal tears. We undertook a review of the literature to determine trends regarding outcomes from this procedure. Independent variables were analyzed for associations with outcome, and outcome measures and methods of ...

PURPOSE: This retrospective study aimed to determine the usefulness of stereomodels in various maxillofacial surgical treatments. MATERIALS AND METHODS: A total of 45 stereomodels were evaluated in terms of usefulness from questionnaires completed by 4 groups of subjects: surgeons, postgraduate students, technicians, and patients. These models were categorized into 4 ...

PURPOSE: The purpose of this study was to test the hypothesis that both the anteromedial and posterolateral bundles may be clearly visible after anatomic double-bundle reconstruction, as well as that a strong relation may exist between the appearance of the 2 bundles and the clinical evaluation. METHODS: A prospective study ...

BACKGROUND: After esophagectomy a swallowing abnormality is the predominant symptom for esophageal cancer. The aims of this study were to examine (i) oropharyngeal swallowing by comparing pre- and postoperative period, and (ii) the relationship between oropharyngeal swallowing and the alimentary reconstruction route after esophagectomy. PATIENTS AND METHODS: We studied 27 ...

PURPOSE: We performed a retrospective cohort study with prospective data collection to assess clinical and functional outcomes of painful impingement of the infrapatellar fat pad (Hoffa's disease) treated with high-portal arthroscopic resection. METHODS: Hoffa's disease as an isolated lesion was confirmed by arthroscopy in 34 patients with recalcitrant anterior knee ...

A composite carbon fibre polyester scaffold class ligament (ABC -- Active Biosynthetic Composite Ligament, Surgicraft Ltd., Redditch) has been used for primary reconstruction of the torn anterior cruciate ligament at Mayday University Hospital since 1985. A cohort of patients followed up until 1996 showed a high incidence of early failure ...

BACKGROUND: Revision anterior cruciate ligament surgery remains challenging. PURPOSE: To analyze the authors' experience with revision anterior cruciate ligament surgery and determine the association between stability and functional results. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between 1991 and 2002, 95 of 102 patients who underwent revision anterior ...

BACKGROUND: There is no consensus about whether isolated anterior cruciate ligament reconstruction using multistrand hamstring tendon with nonoperative treatment for chronic medial collateral ligament injury is sufficient. PURPOSE: To assess clinical outcome for patients with chronic anterior cruciate ligament injury and accompanying grade II valgus laxity who received medial hamstring ...

To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient ...

Iliotibial band friction syndrome presents with lateral knee pain usually in runners. When conservative treatment fails, surgical lengthening, or Z-plasty, can provide symptomatic relief. This retrospective study evaluated the long-term results of iliotibial band Z-plasty for chronic iliotibial band friction syndrome in a consecutive series of patients. Inclusion criteria were ...

Despite the fact that anterior cruciate ligament reconstruction (ACLR) is a common procedure, no clear guideline regarding the timing of reconstruction has been established. We hypothesized that there is a point in post injury period, after which significant increase in meniscal tears occurs. The purpose of this study was to ...

BACKGROUND: A total of 100 patients who presented with synostosis of the metopic or coronal suture were consecutively treated during a 6-year period using minimally invasive endoscopic-assisted suturectomies. After surgery, all patients were fitted with custom-made cranial helmets for up to 12 months. MATERIALS AND METHODS: The coronal group consisted ...

In long bones, the most common site for metastases is the proximal femur. For lesions involving this region, osteosynthetic devices frequently fail, and for this reason, endoprosthetic reconstruction may be the optimal choice for treatment. Here, we present a series of 44 patients in whom 45 endoprosthetic reconstructions were performed ...

INTRODUCTION: Correct placement of both tibial and femoral tunnels is one of the main factors for a favorable clinical outcome after anterior cruciate ligament (ACL) reconstruction. We used an original system of computer assisted surgery (CAS). The system, based on fluoroscopic guidance combined with special graphical software of image analyzing, ...

BACKGROUND: The outcome of revision anterior cruciate ligament reconstruction has only rarely been reported. The purpose of this study was to evaluate the results of revision anterior cruciate ligament surgery with use of an autogenous doubled semitendinosus and gracilis graft in association with an extra-articular procedure. METHODS: Between 1997 and ...

Animal studies have shown that implanted anterior cruciate ligament (ACL) grafts initially undergo a process of revascularisation prior to remodelling, ultimately increasing mechanical strength. We investigated whether minimal debridement of the intercondylar notch and the residual stump of the ruptured ACL leads to earlier revascularisation in ACL reconstruction in humans. ...

This study was conducted to compare the results of anterior transposition methods and to determine the time needed to attain subjective well-being in patients with cubital tunnel syndrome. A total of 49 cases were retrospectively evaluated. Patients were called for follow-up, completed a questionnaire, and were reexamined. They were assigned ...

This study compared the long-term clinical and radiological outcomes, according to the extent of arthroscopic meniscectomy, of complete and incomplete types of the discoid lateral meniscus. A total of 125 discoid menisci (74 complete and 51 incomplete types) without significant cartilage erosion at the time of surgery were included. The ...

We reviewed 87 patients who underwent revision reconstruction of the anterior cruciate ligament. The incidence of meniscal tears and degenerative change was assessed and related to the interval between failure of the primary graft and revision reconstruction. Patients were divided into two groups: early revision surgery within six months of ...

PURPOSE: Infection after arthroscopic anterior cruciate ligament (ACL) reconstruction is reported to be rare but can cause significant morbidity. The purpose of this study was to test the null hypothesis that there is no difference in infection rates between techniques and no difference in outcome of different techniques after treatment ...

BACKGROUND: After anterior cruciate ligament (ACL) reconstruction, some patients suffered from sensory disturbance around the surgical incision of the leg. This research was aimed to investigate the relationship between the different skin incisions and the injury of the infrapatellar branch of the saphenous nerve (IPBSN) post ACL reconstruction. METHODS: ACL ...

PURPOSE: The purpose of this study was to compare the clinical results of a double-bundle anterior cruciate ligament (ACL) reconstruction with 4 strands versus 8 strands of hamstring tendon graft. METHODS: Seventy-six patients with chronic ACL rupture were randomly separated into two groups for double-bundle ACL reconstruction. In the 4-strand ...

BACKGROUND: The aim of this study was to describe program and effects of rehabilitation after bursocopic treatment of Osgood-Schlatter disease, carried out in order to alleviate effects of operation and to prevent renewed overloads and damages near the distal patellar ligament insertion. MATERIAL AND METHODS: Described rehabilitation program was employed ...

OBJECTIVE: The authors report the immediate result (6 months) after Autologous Chondrocyte Implantation (ACI) in clinical and anatomic result with MRI. This is the first report ofACI that provides chondrocyte cells from a domestic lab. MATERIAL AND METHOD: ACI was done in a two-stage procedure, first stage via arthroscope to ...

BACKGROUND: Unrelieved postoperative pain may impair rehabilitation, delay recovery, and result in poor outcomes. Preventive multimodal analgesic techniques may improve long-term outcome after surgery. METHODS: We randomized 200 consecutive patients to receive acetaminophen 1000 mg and either celecoxib 400 mg or placebo 1-2 h before anterior cruciate ligament surgery. All ...

Isolated anterior cruciate ligament (ACL) reconstruction may provide long-term symptom relief and improved function in patients with medial knee arthrosis and ACL-deficiency, while delaying or possibly eliminating the need for further surgical intervention. Fifty-three patients who had medial unicompartmental arthrosis and chronic ACL-deficient knees underwent ACL reconstruction alone. Subjective evaluation ...

OBJECTIVE: To investigate the effects of Hyaluronic acid (HA) on early rehabilitation of patients with isolated anterior cruciate ligament (ACL) reconstruction. DESIGN: Randomized, controlled clinical trial. SETTING: A total 120 patients with isolated ACL injury who had received patellar tendon autograft reconstruction were randomly assigned to four groups (groups I-IV), ...

BACKGROUND: The purpose of this study is to biomechanically and histologically evaluate the effect of bleeding from bone marrow on remodeling of the in situ frozen-thawed anterior cruciate ligament. METHODS: Forty-four rabbits were used. Eight rabbits were used to evaluate the amount of bleeding at days 1-4. Thirty-six rabbits were ...

BACKGROUND: There is a low level of evidence about clinical results after anterior cruciate ligament (ACL) revision reconstruction using autologous hamstring tendon grafts. HYPOTHESIS: Anterior cruciate ligament revision reconstruction improves knee stability but shows inferior results for functional and subjective outcome and knee stability compared with primary reconstruction. STUDY DESIGN: ...

PURPOSE: We sought to determine whether differences in muscle elasticity between healthy age-related controls and patients with hypogonadism could be measured by a new, non-invasive method termed magnetic resonance elastography (MRE). MATERIALS AND METHODS: Twelve hypogonadal (21-68 years) and twenty-seven healthy age-related men (20-76 years) were examined. In the hypogonadism ...

PURPOSE: A randomized clinical study was conducted to compare the outcome between double-bundle (DB) and single-bundle (SB) anterior cruciate ligament (ACL) reconstructions with 4-strand semitendinosus tendon (ST). METHODS: We divided 68 patients with unilateral ACL injury into 2 groups according to their birth date, and they were followed up in ...

This clinical study evaluates the minimum 6 year follow-up clinical, functional, radiological and isometric results after arthroscopic reconstruction of the anterior cruciate ligament (ACL) with quadrupled semitendinosus tendon autograft (femoral endobutton and tibial suture disc fixation). Seventy out of 85 operated patients (lost to follow-up 17%) with an average age ...

BACKGROUND: Thirty-eight of the 73 consecutive acute ruptures of the anterior cruciate ligament (ACL) proven by a magnetic resonance imaging scan (MRI) in skeletally mature patients (16-55 years old) were classified as suitable for primarily conservative treatment. Patient selection was performed using a preoperative screening protocol based on the structural ...

PURPOSE: The purpose of this study was to evaluate the outcome of anterior cruciate ligament (ACL) reconstruction via anterior tibialis tendon allograft. METHODS: We performed a retrospective review of 125 consecutive patients who underwent ACL reconstruction via an anterior tibialis tendon allograft. Of these patients, 69 were available for follow-up ...

This study was initiated to establish a treatment algorithm for preoperative evaluation of donor sites prior to the harvest of free osteocutaneous flaps, in the setting of complex mandibulofacial reconstruction. A total of 29 consecutive patients were treated between 1999 and 2003 in a university-based setting. Reconstructions were completed using ...