To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty
NULL Clin Orthop Relat Res. 2008 Aug 26. [Epub ahead of print] Helmy N, Anglin C, Greidanus NV, Masri BA. The management of the patellar articular surface at the time of primary total knee arthroplasty (TKA) is controversial. We used expected-value decision analysis to determine whether the patella should be resurfaced in TKA, and also […]
Symptomatic bipartite patella: treatment alternatives
NULL J Am Acad Orthop Surg. 2008 Aug;16(8):455-61. Atesok K, Doral MN, Lowe J, Finsterbush A. Bipartite patella is usually an asymptomatic, incidental finding. However, in adolescents, it may be a cause of anterior knee pain following trauma or a result of overuse or strenuous sports activity. Most patients improve with nonsurgical treatment. Surgery is […]
Repair of Patellar Tendon Rupture Using Suture Anchors
NULL J Knee Surg. 2008;21:122-129 Brandon D. Bushnell; Joshua N. Tennant; James H. Rubright; R. Alexander Creighton. ABSTRACT Acute isolated rupture of the patellar tendon traditionally has been repaired via transpatellar suture tunnels. This retrospective study evaluated the demographics and epidemiology of this injury as well as the effectiveness and complication rates of our suture […]
Evaluation and Treatment of Osteochondritis Dissecans Lesions of the Knee
NULL Alvin J. Detterline, MD; Jordan L. Goldstein, MD; John-Paul H. Rue, MD; Bernard R. Bach, Jr., MD J Knee Surg. 2008;21:106-115. ABSTRACT Osteochondritis dissecans (OCD) is a condition affecting the subchondral bone of joints with secondary effects on articular cartilage that results in pain, effusions, loose-body formation, and mechanical symptoms. Left untreated, OCD can […]
Patellar Resurfacing Versus No Resurfacing in Scorpio Total Knee Arthroplasty
NULL N. Garneti, D. Mahadeva, A. Khalil, C.A.N. McLaren. J Knee Surg. 2008; 21:97-100 ABSTRACT This retrospective study compared the results of patellar resurfacing versus no resurfacing in 121 patients (142 knees) who underwent Scorpio total knee arthroplasty (TKA) between January 2002 and September 2004. Mean follow-up was 33 months in the nonresurfaced group and […]
Medial Patellofemoral Ligament Reconstruction With Half Width (Hemi Tendon) Semitendinosus Graft
NULL Joao L. Ellera Gomes, MD, MSc, PhD ORTHOPEDICS 2008, 31:322 The half width tendon technique preserves muscle continuity, with faster and easier postoperative recovery Medial patellofemoral ligament reconstruction was introduced in the early 1990s as a new therapeutic option for recurrent patellar dislocation and subluxation. It has since gained international recognition, especially because of […]
Patellofemoral Function After Total Knee Arthroplasty: A Comparison of 2 Posterior-Stabilized Designs
NULL John A. Anderson, MD, MRCS; Andrea Baldini, MD; Thomas P. Sculco, MD J Knee Surg. 2008; 21:91 ABSTRACT Knee complications and function were analyzed in patients with 2 different posterior-stabilized total knee arthroplasty (TKA) designs, Optetrak 913 and Insall-Burstein II. Three hundred Insall-Burstein II knees with mean follow-up of 8 years (range: 5-9 years) […]
Infection after knee arthroplasty a prospective study of 1509 cases
NULL J Arthroplasty. 2008 Apr;23(3):355-9. Chesney D, Sales J, Elton R, Brenkel IJ. We report a prospective study of 1509 consecutive total knee arthroplasties looking at risk factors for infection in modern surgical practice. The overall deep infection rate was 1%. A further 51 patients had a superficial infection (3.3%). Statistical analysis revealed no correlation […]
The Posterolateral Corner of the Knee: Anatomic Dissection and Surgical Approach
NULL J Knee Surg. 2008; 21:50-54 Joshua M. Alpert, ; L. Pearce McCarty, III, ; Bernard R. Bach Jr., ABSTRACT The surgical anatomy and biomechanical role of the posterolateral corner of the knee has received significant attention in recent years. Nevertheless, because of the relative infrequency with which injuries to this area are treated operatively, […]
Mechanical factors relate to pain in knee osteoarthritis
NULL Clin Biomech. 2008 Mar 15 [Epub ahead of print] Maly MR, Costigan PA, Olney SJ. BACKGROUND: Pain experienced by people with knee osteoarthritis is related to psychosocial factors and damage to articular tissues and/or the pain pathway itself. Mechanical factors have been speculated to trigger this pain experience; yet mechanics have not been identified […]