Autografts Commonly Used in Anterior Cruciate Ligament Reconstruction
NULL Walter R. Shelton, MD and Bryan C. Fagan, MD Anterior cruciate ligament reconstruction is among the most common orthopaedic procedures in the United States, with >200,000 performed annually. Much has been published regarding the use of autograft versus allograft. Bonepatellar tendonbone is the most frequently used autograft, but hamstring and quadriceps tendon grafts are […]
Patellar Fractures in Adults
J. Stuart Melvin, MD and Samir Mehta, MD J Am Acad Orthop Surg 2011 19 Patellar fracture is a common injury caused by excessive tension through the extensor mechanism or a direct blow. The intact patella increases the leverage and efficiency of the extensor mechanism and articulates with the femoral trochlea. Patellar fractures can lead […]
The Use of Highly Cross-linked Polyethylene in Total Knee Arthroplasty
J Am Acad Orthop Surg, Vol 19, No 3, March 2011 Paul F. Lachiewicz, MD and Mark R. Geyer, MD Polyethylene wear, with resultant particle-induced osteolysis, is a cause of late failure of total knee arthroplasty. The causes of both wear and osteolysis are multifactorial; still, improvements in the polyethylene liner have been investigated. Available […]
The Role of Trochlear Dysplasia in Patellofemoral Instability
NULL Matthew Bollier, MD and John P. Fulkerson, MD J Am Acad Orthop Surg, Vol 19, No 1, January 2011, Trochlear dysplasia is characterized by abnormal trochlear morphology and a shallow groove. It is associated with recurrent patellar dislocation, but it is unclear whether the dysplasia is congenital, the result of lateral tracking and chronic […]
Total Knee Arthroplasty and Parkinson Disease: Enhancing Outcomes and Avoiding Complications
William Macaulay, MD, Jeffrey A. Geller, MD, Anthony R. Brown, MD, Lucien J. Cote, MD and Howard A. Kiernan, MD J Am Acad Orthop Surg, Vol 18, No 11, November 2010 Abstract: Total knee arthroplasty (TKA) is typically an extremely successful method of restoring pain-free function and providing good long-term outcomes for patients with end-stage […]
Distal Femoral Fractures: Current Concepts
J Am Acad Orthop Surg, Vol 18, No 10, October 2010 F. Winston Gwathmey, Jr, MD, Sean M. Jones-Quaidoo, MD, David Kahler, MD, Shepard Hurwitz, MD and Quanjun Cui, MD, MS The diversity of surgical options for the management of distal femoral fractures reflects the challenges inherent in these injuries. These fractures are frequently comminuted […]
Noncontact Anterior Cruciate Ligament Injuries: Mechanisms and Risk Factors
J Am Acad Orthop Surg, Vol 18, No 9, September 2010 Barry P. Boden, MD, Frances T. Sheehan, PhD, Joseph S. Torg, MD and Timothy E. Hewett, PhD Significant advances have recently been made in understanding the mechanisms involved in noncontact anterior cruciate ligament (ACL) injury. Most ACL injuries involve minimal to no contact. Female […]
Management of Osteoarthritis of the Knee in the Active Patient
NULL Brian T. Feeley, MD, Robert A. Gallo, MD, Seth Sherman, MD and Riley J. Williams, MD J Am Acad Orthop Surg 2010 18: Total knee arthroplasty has been extremely successful in elderly patients with osteoarthritis. However, there is considerable controversy regarding how best to treat the younger, athletic patient with advanced arthritis. Treatment options […]
Soft-tissue Balancing During Total Knee Arthroplasty in the Varus Knee
William M. Mihalko, MD, PhD, Khaled J. Saleh, MD, MSc, Kenneth A. Krackow, MD and Leo A. Whiteside, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Soft-tissue balancing during total knee arthroplasty is an important step in optimizing the mechanical balance of the knee joint. Soft-tissue contractures that result from varus […]
Randomized Controlled Trial of Diclofenac Sodium Gel in Knee Osteoarthritis
Barthel HR, Haselwood D, Longley S, Gold MS, Altman RD; Seminars in Arthritis and Rheumatism 39 (3), 203-212 (Dec 2009) OBJECTIVES: Nonsteroidal anti-inflammatory drugs have dose-related adverse effects. Topical nonsteroidal anti-inflammatory drugs may offer local efficacy with low systemic drug levels. This study assessed the efficacy and safety of topical diclofenac sodium 1% gel (DSG) […]