The Knee
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Source: The Knee - October 21, 2009 Category: Orthopaedics Source Type: journals
British Association for Surgery of the Knee
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Source: The Knee - October 21, 2009 Category: Orthopaedics Source Type: journals
Which prostheses is cost-effective?
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Source: The Knee - October 21, 2009 Category: Orthopaedics Tags: Editorial Source Type: journals
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Source: The Knee - October 21, 2009 Category: Orthopaedics Source Type: journals
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Source: The Knee - October 21, 2009 Category: Orthopaedics Source Type: journals
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Source: The Knee - August 31, 2009 Category: Orthopaedics Source Type: journals
British Association for Surgery of the Knee
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Source: The Knee - August 31, 2009 Category: Orthopaedics Source Type: journals
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Source: The Knee - August 31, 2009 Category: Orthopaedics Source Type: journals
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Source: The Knee - August 31, 2009 Category: Orthopaedics Source Type: journals
Corrigendum to “Efficacy of an accelerated recovery protocol for Oxford unicompartmental knee arthroplasty — A randomised controlled trial” [The Knee 12 (2005) 351–357]
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The author regrets that when this paper was published in 2005, contained some incorrect calculations. The correct is now displayed below. (Source: The Knee)
Source: The Knee - August 20, 2009 Category: Orthopaedics Authors: K.A. Reilly, D.J. Beard, K.L. Barker, C.A.F. Dodd, A.J. Price, D.W. Murray Tags: Corrigendum Source Type: journals
The patellofemoral syndrome; the same problem as the Loch Ness Monster?
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Receiving a referral letter to see a patient with patellofemoral syndrome causes a feeling of heart-sink in most orthopaedic surgeons. It predicts an unhappy patient, a prolonged clinic appointment, and an unsatisfactory outcome. Especially as a reliable operation is an unlikely management outcome. Orthopaedic surgeons tend to be mechanically minded and see their main task as correcting abnormalities surgically. Patellofemoral syndrome is the antithesis of this. As Teitge said “patellofemoral syndrome: What does it mean? Historically a wastebasket term for pain and dysfunction … patellofemoral syndrome is not a diagnos...
Source: The Knee - July 20, 2009 Category: Orthopaedics Authors: Ronald Grelsamer, Garrett Moss, Gerard Ee, Simon Donell Tags: Editorial Source Type: journals
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Source: The Knee - June 8, 2009 Category: Orthopaedics Source Type: journals
British Association for Surgery of the Knee
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Source: The Knee - June 8, 2009 Category: Orthopaedics Source Type: journals
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Source: The Knee - June 8, 2009 Category: Orthopaedics Source Type: journals
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Source: The Knee - June 8, 2009 Category: Orthopaedics Source Type: journals
Bilateral rotational osteotomies of the proximal tibiae and tibial tuberosity distal transfers for the treatment of congenital lateral dislocations of patellae: A case report and literature review
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We report a case of bilateral congenital lateral dislocations of the patellae treated with bilateral tibial rotational osteotomies with an 8 year and a 4 year follow up. (Source: The Knee)
Source: The Knee - May 24, 2009 Category: Orthopaedics Authors: Rajesh Ramaswamy, Yona Kosashvili, John J. Murnaghan, Cameron Kin-Mo Yau, John C. Cameron Tags: Original articles Source Type: journals
Quadriceps tendon free graft augmentation for a midsubstance tear of the medial collateral ligament during total knee arthroplasty
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Abstract: Primary repair of a disrupted midsubstance MCL during TKA can provide satisfactory stability. However, in cases with poor soft tissue quality or a gap between the ligament ends, primary repair may not be feasible. In these cases, we have used an augmented repair. The purpose of this study is to describe the technique of augmented repair using a quadriceps tendon free graft and present our experience of five patients.A total of five patients underwent augmented repair of a transected MCL substance using a quadriceps tendon free graft. The patients were followed-up for a mean of 16 months.Augmented repair of the t...
Source: The Knee - May 24, 2009 Category: Orthopaedics Authors: Kwang Am Jung, Su Chan Lee, Seung Hyun Hwang, Soong Hyun Jung Tags: Original articles Source Type: journals
Unicondylar knee arthroplasty in the UK National Health Service: An analysis of candidacy, outcome and cost efficacy
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Abstract: The viability of unicondylar knee arthroplasty (UKA) as a stand-alone or temporising option for the management of gonarthrosis is a topic of considerable contention. Despite recent advances in prosthesis design and surgical technique, as well as mounting evidence of long-term survivorship, UKA remains infrequently used, accounting for just 8–15% of all knee arthroplasties. Instead this group is more typically managed using total knee arthroplasty (TKA). For UKA to warrant increased usage the candidacy for UKA must be prevalent, the outcome must be equivalent or superior to that of TKA, and the costs should be c...
Source: The Knee - May 24, 2009 Category: Orthopaedics Authors: Charles A. Willis-Owen, Klaus Brust, Helen Alsop, Marisa Miraldo, Justin P. Cobb Tags: Original articles Source Type: journals
The kneeling view: Evaluation of the forces involved and side-to-side difference
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Abstract: The kneeling view is a method to objectively measure posterior knee laxity. However, the actual amount of load applied and the reliability of this method in term of side to side difference are not known. We studies these issues in a group a 25 healthy volunteers who underwent measurements of posterior knee laxity in both knees. A standard digital scale was positioned under both kneeling supports to measure the actual amounts of posterior displacement forces applied. We measured the mass of the subject, the side-to-side difference of the weight applied into anterior aspect of the tibia, and the ratio weight of the...
Source: The Knee - May 24, 2009 Category: Orthopaedics Authors: Leonardo Osti, Rocco Papalia, Paola Rinaldi, Vincenzo Denaro, John Bartlett, Nicola Maffulli Tags: Original articles Source Type: journals
Functional ultrasonography in the diagnosis of acute anterior cruciate ligament injuries: A field study
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The objective of the present study was to investigate whether an examiner without specialist expertise in arthrosonography can achieve similar positive results and whether this technique is effective as a screening tool that can help reduce the number of undetected ACL injuries.After a short period of training, a single examiner prospectively measured anterior tibial translation by ultrasonography in the injured and healthy knees of 41 patients with acute knee trauma. An ACL rupture was presumed to be present if the side-to-side difference in tibial translation exceeded 1 mm (ΔD>1 mm). All patients who were enrolled in ...
Source: The Knee - May 24, 2009 Category: Orthopaedics Authors: H.-G. Palm, G. Bergenthal, P. Ehry, W. Schwarz, R. Schmidt, B. Friemert Tags: Original articles Source Type: journals
Gender dimorphic ACL strain in response to combined dynamic 3D knee joint loading: Implications for ACL injury risk
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Abstract: While gender-based differences in knee joint anatomies/laxities are well documented, the potential for them to precipitate gender-dimorphic ACL loading and resultant injury risk has not been considered. To this end, we generated gender-specific models of ACL strain as a function of any six degrees of freedom (6DOF) knee joint load state via a combined cadaveric and analytical approach. Continuously varying joint forces and torques were applied to five male and five female cadaveric specimens and recorded along with synchronous knee flexion and ACL strain data. All data (~10,000 samples) were submitted to specimen...
Source: The Knee - May 24, 2009 Category: Orthopaedics Authors: Kiyonori Mizuno, Jack T. Andrish, Antonie J. van den Bogert, Scott G. McLean Tags: Original articles Source Type: journals
Simultaneous Bilateral Total Knee Replacement: A persistent controversy
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Abstract: The benefits and risks of Simultaneous Bilateral Total Knee Replacement (SBTKR) remain controversial. A review of the English speaking literature was undertaken and found that many papers took staunch positions either for or against the procedure. It was also noted that earlier papers supporting SBTKR suggested cost benefits. There was a huge disparity in the incidence of mortality and morbidity and it was not possible to compare many papers, because in some medically frail patients were excluded from the SBTKR cohorts. In large published series the proportion of patients having a SBTKR varied between 3% and 70%....
Source: The Knee - May 24, 2009 Category: Orthopaedics Authors: J. Noble, J.R. Goodall, D.J. Noble Tags: Review Source Type: journals
The mean anatomical shape of the tibial plateau at the knee arthroplasty resection level: An investigation using MRI
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Abstract: Clinical assessments after Total Knee Arthroplasty (TKA) show persisting pain after implantation in over 20% of patients. Impingement of soft tissue around the knee, due to imprecise geometry of the tibial implant, can be one reason for persisting ailment. Two hundred and thirty seven MRI scans were evaluated using an active contour detection algorithm (snake) to obtain a high-resolution mean anatomical shape of the tibial plateau. Differences between female and male, older and younger (≤40/>40) and left and right averaged shapes were determined. The shapes obtained were asymmetric throughout. Absolute differen...
Source: The Knee - May 21, 2009 Category: Orthopaedics Authors: Maximilian J. Hartel, Yannick Loosli, Jan Gralla, Sandro Kohl, Sven Hoppe, Christoph Röder, Stefan Eggli Tags: Original articles Source Type: journals
Total knee arthroplasty in patients with poliomyelitis
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Abstract: We performed a retrospective chart and radiograph review of 10 patients with a history of poliomyelitis involving a limb that subsequently underwent primary total knee arthroplasty between 2000 and 2008. One posterior stabilized (PS), two condylar constrained (CCK), and seven rotating hinge (RHK) prostheses belonging to the same system were implanted. Eight patients were followed for a minimum of 2 years (mean 4.3 years, range 2 to 8.5 years); one patient required revision for prosthesis infection. The last patient was followed for just six months reporting excellent pain relief, and without complications.Amer...
Source: The Knee - May 14, 2009 Category: Orthopaedics Authors: D. Tigani, M. Fosco, L. Amendola, L. Boriani Tags: Original articles Source Type: journals
Growth arrest of the proximal tibial physis with recurvatum and valgus deformity of the knee
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Abstract: Two cases of asymmetrical closure of the proximal tibial epiphysis without a clear aetiological factor were presented. In both cases premature closure of the growth plate resulted in progressive recurvatum and valgus deformity of the knee with leg length discrepancy. The correction of deformity was obtained using Taylor Spatial frame with excellent results at 2 years follow-up. We hypothesize that repetitive trauma or chronic overloading during sports activities might be a factor of growth arrest in reported cases. Orthopedic surgeons should be aware of the possibility of subtle physeal injuries, causing angular...
Source: The Knee - May 14, 2009 Category: Orthopaedics Authors: Marcin Domzalski, William Mackenzie Tags: Short communication Source Type: journals
Two-year incidence and predictors of future knee arthroplasty in persons with symptomatic knee osteoarthritis: Preliminary analysis of longitudinal data from the osteoarthritis initiative
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Conclusion: For persons at high risk of knee arthroplasty, the two year incidence of knee arthroplasty is very low. The most powerful predictors were those that accounted for disease severity and functional loss. These data could assist physicians in advising patients with knee osteoarthritis on future surgical care. (Source: The Knee)
Source: The Knee - May 7, 2009 Category: Orthopaedics Authors: Daniel L. Riddle, Xiangrong Kong, William A. Jiranek Tags: Original articles Source Type: journals
Knee stabilisation following infected knee arthroplasty with bone loss and extensor mechanism impairment using a modular cemented nail
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Abstract: Infected Total Knee Replacement with significant bone loss and loss of extensor mechanism poses a difficult management problem. Arthrodesis relying on bony union can be difficult to achieve and can result in significant limb shortening. We retrospectively looked at the outcome of seven patients with significant bone loss and extensor mechanism insufficiency following infected TKR who underwent knee stabilisation using a modular cemented nail. The nail relied on the strong coupling mechanism between the modular femoral and tibial components. Pain score improved from a mean of 7.9 pre-operatively to 1.5 post-operat...
Source: The Knee - May 7, 2009 Category: Orthopaedics Authors: M.C. Rao, O. Richards, C. Meyer, R. Spencer Jones Tags: Original articles Source Type: journals
Tibial bone tunnel widening is reduced by polylactate/hydroxyapatite interference screws compared to metal screws after ACL reconstruction with hamstring grafts
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Abstract: Composite interference screws containing calcium phosphate for anterior cruciate ligament graft fixation could improve implant/bone integration and thereby reduced tunnelwidening and graft slippage. The present study investigated the effect of polylactate/hydroxyapatite interference screw (HA/PLLA) screw used for tibial graft fixation on tunnel widening and clinical outcomes compared with a metal interference screw. We hypothesized less tibial tunnelwidening with HA/PLLA screws compared to metal screws. Hundred patients with HA/PLLA screw tibial fixation was compared with 100 patients with metal screw tibial fixa...
Source: The Knee - May 7, 2009 Category: Orthopaedics Authors: Martin Lind, Julian Feller, Kate E. Webster Tags: Original articles Source Type: journals
Correlates of knee anterior laxity in sportswomen
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Abstract: The purpose of this study was to evaluate whether any of the following factors are related to knee anterior laxity in healthy sportswomen: anthropometric characteristics, lower limb alignment characteristics, hormone-related factors and sport history. Six hundred and sixteen sportswomen were tested in the pre-season. The data have been analysed using linear regression for possible association of knee anterior laxity with other variables. Univariate linear regression indicated a positive association of knee anterior laxity with knee extension and navicular drop and a negative association with body height. Multivar...
Source: The Knee - May 7, 2009 Category: Orthopaedics Authors: Renata Vauhnik, Matthew C. Morrissey, Olga M. Rutherford, Zmago Turk, Iztok A. Pilih, Maja Pohar Perme Tags: Original articles Source Type: journals
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Source: The Knee - April 29, 2009 Category: Orthopaedics Source Type: journals
BASK Travelling Fellowship 2008-09
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Source: The Knee - April 29, 2009 Category: Orthopaedics Source Type: journals
British Association for Surgery of the Knee
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Source: The Knee - April 29, 2009 Category: Orthopaedics Source Type: journals
Superior pole sleeve fracture following patellar stabilisation
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We report a case in a 16 year old boy who underwent plication of the medial patellofemoral ligament, vastus medialis obliquus advancement and percutaneous lateral release, for recurrent instability. Interruption of the blood supply with subsequent avascular necrosis is one possible mechanism for this complication. Another more likely mechanism is that of failure of the repair and re-dislocation, which may have been contributed to by prolonged cast immobilization. (Source: The Knee)
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Stephen Brennan, Ray Walls, Mark Jackson, Ray Moran Tags: Short communication Source Type: journals
Glomus tumor and knee pain: A report of four cases
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We present four cases of glomus tumors presenting as knee pain. All cases were treated by surgical excision of the tumor. All patients made an immediate recovery with return to full normal function.The presentation of this is unique in that the patient has exquisite pain and tenderness when the area affected is palpated. Occasionally, local infiltration or an ischaemia test can assist with diagnosis. To our knowledge, this is the largest case series in the literature. (Source: The Knee)
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Marcia L. Clark, Carolyn O'Hara, P.J. Dobson, A.L. Smith Tags: Original articles Source Type: journals
Placement of a palpable marker adjacent to the mid-inguinal point: Assessment of a clinical method for detecting the femoral head centre during knee arthroplasty
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In conclusion, our results suggest that the clinical method reported here provides a simple and reliable way of localizing the centre of the femoral head in knee arthroplasty. (Source: The Knee)
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: R.S. Samarji, C.P. Charalambous, S. Waldron, J. Noble Tags: Original articles Source Type: journals
Kinematics of a cementless mobile bearing posterior cruciate ligament-retaining total knee arthroplasty
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Abstract: Mobile bearing (MB) total knee arthroplasty (TKA) was developed to provide low contact stress and unconstrained joint motion. We studied a consecutive series of 41 knees with mobile-bearing, posterior cruciate-retaining (CR) TKAs to determine if kinematics resembled normal knees or if kinematics changed over time. Patients were studied at 3 and 21 months average follow-up with weight-bearing radiographs at full extension, 30° flexion and maximum flexion. Shape-matching techniques were used to measure TKA kinematics. Implant hyperextension, maximum flexion and total ROM increased with follow-up. Tibial rotation ...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: J. Chouteau, J.L. Lerat, R. Testa, B. Moyen, M.H. Fessy, S.A. Banks Tags: Original articles Source Type: journals
Sub-vastus approach is more effective than a medial parapatellar approach in primary total knee arthroplasty: A randomized controlled trial
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Abstract: In a prospective single-centre longitudinal randomized controlled trial 116 patients were allocated to the sub-vastus approach, and 115 to the medial parapatellar approach. At one week follow-up, compared to baseline, range of motion, Knee Society (KS) global, KS knee, and KS pain scores were significantly better in the sub-vastus group. At the one year follow-up, WOMAC global and pain scores, SF36 physical function and role-physical scores, and EuroQol utility and pain score were significantly better in the sub-vastus group. The ease of exposure in the sub-vastus approach was significantly worse. There was no si...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Stephen A. Bridgman, Gayle Walley, Gilbert MacKenzie, Darren Clement, David Griffiths, Nicola Maffulli Tags: Original articles Source Type: journals
The cemented inset biconvex patella in revision knee arthroplasty
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Abstract: Evaluation of a cemented biconvex inset patellar component used in revision knee arthroplasty at minimum five year follow-up was undertaken. Of the initial cohort of 89 knees in 85 patients, two patellar implants were revised for aseptic loosening following a transverse fracture of the patella associated with avascular necrosis. A further four implants were judged radiographically loose. Aseptic loosening of the implant was strongly correlated with the presence of avascular necrosis radiographically. Fracture of the patellar bone remnant was associated with a radiographically measured thickness of residual patell...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Sani Erak, Robert B. Bourne, Steven J. MacDonald, Richard W. McCalden, Cecil H. Rorabeck Tags: Original articles Source Type: journals
Correlation between radiographic assessment and quality of life after total knee arthroplasty
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Abstract: The correlation between radiographic and clinical outcome was investigated for total knee arthroplasty. One hundred three total knee arthroplasties in 98 patients were investigated at an average follow-up of 10.8 years (range, 2–17 years). For radiographic evaluation the Radiographic Evaluation System of the Knee Society was used. For assessment of clinical outcome four disease-specific scores, and the Nottingham Health Profile were applied. A significant correlation was found between the extent of radiolucent lines of the tibial component and the Nottingham Health Profile (correlation coefficient: 0.61, p (Source: The Knee)
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Christian M. Bach, Eckart Mayr, Michael Liebensteiner, Michaela Gstöttner, Michael Nogler, Martin Thaler Tags: Original articles Source Type: journals
Cemented versus uncemented fixation of the femoral component of the NexGen CR total knee replacement in patients younger than 60 years: A Prospective Randomised Controlled RSA Study
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Abstract: The optimal mode of femoral fixation in total knee arthroplasty (TKA) remains controversial, especially for the young patient. In a prospective randomised study we compared the magnitude and pattern of the fixation of cemented versus uncemented femoral components during 2 years in patients younger than 60 years. Forty-one knees in 41 patients were randomised to receive a NexGen (Zimmer, Warsaw, USA) cruciate-retaining TKA with either a cemented or an uncemented non HA-coated femoral component. The patients were examined by radiostereometric analysis (RSA), as well as clinical and radiological evaluation. The ma...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Feng Gao, Anders Henricson, Kjell G. Nilsson Tags: Original articles Source Type: journals
Influence of component alignment on outcome for unicompartmental knee replacement
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This study's aim was to assess the effect of component mal-alignment on outcome of Oxford Unicompartmental Knee Replacement (UKR). Two hundred and eleven knees implanted with a medial UKR, using a minimally invasive approach, were followed up at a minimum of 4 years. Sagittal and frontal plane femoral and tibial component alignments were determined from antero-posterior and lateral radiographs. The cohort was divided into alignment groups which represented consecutive 2.5° intervals over the range of measured values for femoral varus/valgus, femoral flexion/extension, tibial varus/valgus and tibial tilt. The Oxford Knee S...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: A. Gulati, R. Chau, D.J. Simpson, C.A.F. Dodd, H.S. Gill, D.W. Murray Tags: Original articles Source Type: journals
Real time spatial compound ultrasound in the evaluation of meniscal injuries: A comparison study with conventional ultrasound and MRI
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Abstract: The aim of this study was to compare real time spatial compound ultrasound (RTCS) and conventional ultrasound with MRI in the evaluation of meniscal injuries. Thirty five patients with clinical suspicion of meniscal injury underwent ultrasound of knee alternating between conventional and compound sonography followed by MRI of the knee on a 1.5 T MR system. The images were compared for their quality and ability to detect meniscal tear. Compound ultrasound significantly improved definition of soft tissue planes, reduced speckle and other noise, improved contrast resolution (p value (Source: The Knee)
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Alampady Krishna Prasad Shanbhogue, Manavjit Singh Sandhu, Paramjeet Singh, Vijayanadh Ojili, Niranjan Khandelwal, Ramesh Sen Tags: Original articles Source Type: journals
Clinical significance of meniscal abnormalities on magnetic resonance imaging in an older population
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This study examined the prevalence of degenerative changes of knee menisci in aging and evaluated the diagnostic values of magnetic resonance (MR) imaging for assessing meniscal pathology in an older population. Eighty-five knees of asymptomatic volunteers over the age of 40 were scanned using MR imaging. Meniscal abnormalities were graded from 0 to 3 according to intrameniscal MR signals. The subjects were divided into two groups based on the presence or absence of radiographic osteoarthritis. Group I included 43 knees that had normal radiographs and group II consisted of 42 knees that had radiographic evidence of osteoar...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Shoji Fukuta, Akira Kuge, Fumiaki Korai Tags: Original articles Source Type: journals
Hamstring tendon harvesting — Effect of harvester on tendon characteristics and soft tissue disruption; cadaver study
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Abstract: The purpose of this study was to determine whether the type of hamstring tendon harvester used can influence harvested tendon characteristics and soft tissue disruption. We compared two different types of tendon harvesters with regard to the length of tendon obtained and soft tissue disruption during hamstring tendon harvesting. Thirty six semitendinosus and gracilis tendons were harvested using either a closed stripper or a blade harvester in 18 paired knees from nine human fresh cadavers. Use of the blade harvester gave longer lengths of usable tendon whilst minimising the stripping of muscle and of any non-usa...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: C.P. Charalambous, F. Alvi, P. Phaltankar, O. Gagey Tags: Original articles Source Type: journals
Forward lunge as a functional performance test in ACL deficient subjects: Test–retest reliability
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Abstract: The forward lunge movement may be used as a functional performance test of anterior cruciate ligament (ACL) deficient and reconstructed subjects. The purposes were 1) to determine the test–retest reliability of a forward lunge in healthy subjects and 2) to determine the required numbers of repetitions necessary to yield satisfactory reliability. Nineteen healthy subjects performed four trials of a forward lunge on two different days. The movement time, impulses of the ground reaction forces (IFz, IFy), knee joint kinematics and dynamics during the forward lunge were calculated. The relative reliability was dete...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Tine Alkjær, Marius Henriksen, Poul Dyhre-Poulsen, Erik B. Simonsen Tags: Original articles Source Type: journals
Is physical therapy more beneficial than unsupervised home exercise in treatment of post surgical knee disorders? A systematic review
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Abstract: Physical therapy is common following a knee surgery. With rising healthcare costs there is debate as to the appropriateness of outpatient physical therapy following such interventions. Many of the existing controlled trials have concluded that there is no benefit to subjects that receive supervised physical therapy when compared to subjects that perform their exercises at home. The purpose of this systematic review was to consider the existing evidence regarding benefit following knee surgery and evaluate the quality, internal and external validity of such evidence. Ten studies, all randomized control trials, wer...
Source: The Knee - April 29, 2009 Category: Orthopaedics Authors: Steven M. Coppola, Sean M. Collins Tags: Review Source Type: journals
The soul and the knee
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(Source: The Knee)
Source: The Knee - April 29, 2009 Category: Orthopaedics Tags: Editorial Source Type: journals
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Source: The Knee - April 29, 2009 Category: Orthopaedics Source Type: journals
Contents
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Source: The Knee - April 29, 2009 Category: Orthopaedics Source Type: journals
Childhood delayed septic arthritis of the knee caused by Serratia fonticola
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We report a first documented case of Serratia fonticola infection in a child with septic arthritis, after falling off his bicycle and an infection with hawthorn thorns. The aetiologic agent was found to be a S. fonticola strain which was first isolated from two synovial fluid samples, only after culture enrichment, with failure of DNA amplification. Accurate diagnostic was done, despite S. fonticola is often considered as an opportunistic pathogenic bacterium. Alone ciprofloxacin treatment was not sufficient to counteract the infection, which was eradicated only after surgical drainage performed twice successively, with se...
Source: The Knee - April 28, 2009 Category: Orthopaedics Authors: Gorret Julie, Chevalier Julie, Gaschet Anne, Fraisse Bernard, Violas Philippe, Chapuis Madeleine, Anne Jolivet-Gougeon Tags: Short communications Source Type: journals
