Tension Band Wire Fixation Technique for Anterior Cruciate Ligament Tibial Avulsion Fracture: A New Fixation Technique

This study evaluated clinical results of tension band wire fixation technique in the arthroscopic treatment of anterior cruciate ligament (ACL) tibial avulsion fracture. This study included 148 cases of ACL tibial avulsion fracture treated using arthroscopic tension band wire fixation technique. Patients were followed up for 25 to 36 months with an average of 27 months and evaluated in accordance with the International Knee Documentation Committee (IKDC) and Lysholm knee scoring scale. Fractures were united within 3 months after surgery in all cases. During the last follow-up, the anterior drawer, Lachman, and pivot shift tests showed negative, except for eight patients who had a 1-degree positive anterior drawer test. KT-1000 knee stability test showed no anterior instability exceeding 2 mm in 132 patients and 4 mm in 8 patients. In accordance with the IKDC scale, the knees of 132 patients were graded normal, whereas 8 other patients were nearly normal. Lysholm scores before surgery and during the last follow-up were 72.4 ± 3.2 and 97.5 ± 2.2, respectively. Statistically significant differences were observed among the Lysholm scores (p  0.05). No statistically significant differences between the preinjury and postoperative activity level were observed. All patients were satisfied with the outcomes of operation. Arthroscopic treatment of ACL tibial avulsion fracture by using tension band wire fixation techn...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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Conclusions: We report promising long-term clinical and functional results of a novel arthroscopic resection of the capsulosynovial complex in lateral epicondylitis.
Source: Techniques in Hand and Upper Extremity Surgery - Category: Surgery Tags: Techniques Source Type: research
We present a completely arthroscopic reconstruction technique of the triangular fibrocartilage complex by means of tendon graft to provide stability to the DRUJ. This reconstruction technique provides a more stable reconstruction after the integration of the tendon plasty in the bone tunnels, based on the anatomic insertions of the triangular fibrocartilage in the fovea and in the corners of the dorsal and volar sigmoid notch, along with the advantages offered by arthroscopy in terms of recovery time, esthetic result, less mobility loss, and pain.
Source: Techniques in Hand and Upper Extremity Surgery - Category: Surgery Tags: Techniques Source Type: research
Publication date: March–April 2019Source: Journal of Clinical Orthopaedics and Trauma, Volume 10, Issue 2Author(s): Raju Vaishya
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
Conclusions: Open operative treatment within the first 3 weeks of injury with primary repair or reconstruction of all injured structures can yield outcomes similar to those reported in patients treated with delayed or staged reconstruction of ligaments. Early treatment allows definitive management of injuries that are difficult to address on a delayed basis. Complications of infection, revision because of laxity, and stiffness are uncommon with this approach.
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Special Technical Articles Source Type: research
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Source: Orthopaedics and Trauma - Category: Orthopaedics Authors: Tags: Soft tissue of the knee Source Type: research
Condition:   Surgery of Knee Arthroscopy Interventions:   Drug: Dexamethasone-Bupivacaine;   Drug: Fentanyl-Bupivacaine;   Drug: Placebo-Bupivacaine Sponsor:   Mansoura University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 19 February 2019Source: Arthroscopy TechniquesAuthor(s): Mitchell I. Kennedy, Zach Aman, Nicholas N. DePhillipo, Robert F. LaPradeAbstractExtension loss due to patella baja is a rare but devastating postoperative complication associated with knee surgery. The most common causes of patella baja are prolonged postoperative immobilization, over-distalization of the patellar tendon during patella-related surgical procedures (i.e., tibial tubercle osteotomy and patellar tendon reconstruction), and inadequate knee range-of-motion exercises postoperatively. Patella baja can cause significant fun...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Condition:   Surgery of Knee Arthroscopy Interventions:   Drug: Dexamethasone-Bupivacaine;   Drug: Fentanyl-Bupivacaine;   Drug: Placebo-Bupivacaine Sponsor:   Mansoura University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
  Apollo Endosurgery’s OverStitch device Apollo Endosurgery (NSDQ:APEN) has reported key data from 1,000 patients who underwent endoscopic gastroplasty using the company’s OverStitch device. Published in the journal Gastrointestinal Endoscopy, the data include a mean total weight loss of 14.8%±8.5% at 18 months. Three months following surgery, the impact on obesity-related comorbidities included the complete remission of: 13 of 17 cases of type 2 diabetes. All 28 cases of hypertension. 18 of 32 cases of dyslipidemia. Get the full story on our sister site, Medical Design &Outsourc...
Source: Mass Device - Category: Medical Devices Authors: Tags: Blog Clinical Trials Endoscopic / Arthroscopic News Well Surgical Weight loss Apollo Endosurgery Source Type: news
Publication date: Available online 19 February 2019Source: Journal of Arthroscopy and Joint SurgeryAuthor(s): Krisna Y. Phatama, Mohamad Hidayat, Edi Mustamsir, Ananto Satya Pradana, Brian Dhananjaya, Surya Iman MuhammadAbstractKnee ligament injury is a frequent occurrence. Ligament reconstruction using tendon graft is the best therapy recommendation in the case of severe knee ligament injury. Tendon graft that is oftenly used are hamstring tendon, patellar tendon (BPTB), quadriceps tendon and peroneus longus tendon have been proposed as tendon graft donor. Biomechanically, tensile strength from tendon graft is the main fa...
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
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