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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This article describes modified conjoint tendon transfer. The technique may yield stable, anatomic, biological reconstruction of the CCL for the treatment of acute high-grade AC dislocation. It consists of the following steps: (1) creation of clavicular holes, (2) coracoid osteotomy, (3) conjoint tendon mobilization, (4) conjoint tendon transfer and fixation to the CCL footprint on the undersurface of the clavicle, and (5) AC reduction and conjoint tendon tenodesis to the bed of the retained coracoid process.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 15 October 2018Source: Arthroscopy TechniquesAuthor(s): Nicholas Elena, Brittany M. Woodall, Katie Lee, Patrick J. McGahan, Neil P. Pathare, Edward C. Shin, James L. ChenAbstractSubchondral lesions are the result of osseous modifications seen in a different array of pathologies such as osteoarthritis, rheumatoid arthritis, calcium pyrophosphate deposition, and osteonecrosis. The physiopathologic changes in all of the aforementioned pathologies are not clear yet. What is clear is that the development of a cystic change in the subchondral bone can cause pain and can lead to modification of ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 15 October 2018Source: Arthroscopy TechniquesAuthor(s): Antonio Porthos Salas, Jacek Mazek, Daniel Araujo-Reyes, Mauricio Gonzalez-Campos, Ara Castillo-Trevizo, Jose Misael GarciaAbstractHip arthroscopy has been increasing tremendously in the past decade and is a very common surgical procedure to repair femoroacetabular impingement. To access the hip joint, distraction is mandatory to treat intra-articular disorders such as labral tears, cartilage loose bodies, and ligamentum teres tears and to evaluate the condition of the femoral head and acetabular cartilage. To distract the hip, count...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
AbstractPurposeTo determine: (1) rates and risk factors for progression of lateral and medial full-thickness cartilage defect size in older adults without severe knee osteoarthritis (OA), and (2) whether risk factors for defect progression differ for knees with Kellgren –Lawrence OA grade 3 (moderate) OA versus grades 0–2 (none to mild) OA.MethodsThree-hundred and eighty adults enrolled in the Osteoarthritis Initiative were included (43% male, mean age 63.0 SD 9.2  years). Ethical approval was obtained at all study sites prior to enrollment. All participants had full-thickness tibial or weight-bearing femo...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Publication date: September 2018Source: Fuß &Sprunggelenk, Volume 16, Issue 3Author(s):
Source: Fuss and Sprunggelenk - Category: Podiatry Source Type: research
ConclusionIdeal clinical outcome was significantly associated with the placement of the femoral tunnel along the sagittal plane. Placement of the femoral tunnel should not be beyond the 85% mark along the Blumensaat's line from the anterior-most point. No correlation was established between clinical results and any of the remaining radiological parameters described above.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
ConclusionsBoth arthroscopic debridement and debridement combined with a bicepstenotomy yields high satisfactory shoulder function in elderly patients at long term.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research
Publication date: Available online 12 October 2018Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Obi Nzeako, Nik Bakti, Rajesh Bawale, Bijayendra SinghAbstractGlenoid bone loss is a well established cause of instability and long term morbidity if not adequadely addressed. Anterior glenohumeral instability due an anterior glenoid defect is significantly more common, and for many years has been well treated with open anterior bone block augmentation procedures, most commonly the latarjet procedure. However, with refinement of this technique and some interest in reducing morbidity associated with iliac crest bo...
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
AbstractPurposeIncreased femoral antetorsion influences patellofemoral joint kinematics. The aim of this study was to retrospectively evaluate the clinical outcome after derotational osteotomies and combined procedures in patients with patellofemoral instability.MethodsAll patients with derotational osteotomies and combined procedures in patients with patellofemoral instability and increased femoral antetorsion performed between 2007 and 2016 were retrospectively analyzed. Exclusion criteria were open growth plates, posttraumatic deformities, and a follow-up period less than 12  months. Simple radiography and magnetic...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
ConclusionTransplanting the meniscus close to its native position may reduce subluxation in medial meniscal allograft transplantation. As position changes in the coronal plane can affect the meniscal subluxation more than changes in the sagittal plane, the tibial bone tunnel should be carefully created in the correct anatomical position to avoid a large amount of coronal deviation.Level of evidenceRetrospective case series, IV.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
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