Introducción: las lesiones en rampa se han reportado hasta el 24 % de cirugías LCA. La RM considera poco confiable como método diagnóstico con una sensibilidad entre 48 y 71 %. Objetivos: determinar manera retrospectiva la especificidad RNM detección preoperatoria pacientes operados reconstrucción LCA comparando grupos confirmación artroscópica sin esta. Materiales métodos: estudio cohorte retrospectivo comparativo. Se incluyeron diciembre 2018 2019. Un cirujano rodilla comparó ciegamente...

The purpose of this study was to describe the current practice trends for managing symptomatic cartilage lesions knee with microfracture among ICRS (International Cartilage Regeneration & Joint Repair Society) members.A 42-item electronic questionnaire sent all members, which explored indications, surgical technique, postoperative management, and outcomes procedure treatment symptomatic, full thickness chondral osteochondral defects knee. Responses were compared between surgeons from...

Periprosthetic joint infection (PJI) is a rare but terrible complication in hip and knee arthroplasty, the use of topical vancomycin powder (VP) has been investigated as tool to potentially reduce its incidence. However, there remains no consensus on efficacy. Therefore, aim this review provide an overview application orthopaedic surgery focusing recent evidence results total arthroplasty. Several systematic reviews meta-analyses VP arthroplasty have recently published reporting sometimes...

Has platelet-rich plasma any role in partial tears of the anterior cruciate ligament? Prospective comparative study

To evaluate whether preoperative magnetic resonance imaging (MRI) measurements of multiple tendon autograft sources could be used to improve estimates intraoperative hamstring (HTA) diameter.Patients who underwent anterior cruciate ligament reconstruction with HTA at our institution were identified through electronic health records. Preoperative MRI the patellar (PT) length, PT width, thickness, quadriceps semitendinosus (ST) cross-sectional area (CSA), and gracilis (GT) CSA conducted by 2...

Chondral lesions of the hip in young patients are frequently associated with additional articular pathology. Parafoveal osteochondral have been reported to be a manifestation cam setting femoroacetabular impingement (FAI). Although arthroscopic surgery is useful treat intra- and extra-articular pathology, large located areas that difficult access represent limitation technique. Open surgical dislocation allograft transplantation (OCA) allow treatment larger surface underlying morphologic...

The ability to predict meniscus tear reparability based on preoperative magnetic resonance imaging (MRI) is desirable for postoperative planning; however, the accuracy of predictive methods varies widely within orthopaedic and radiology literature.The purpose was determine if higher resolution offered by 3-T MRI improves predicting compared with previous investigations using 1.5-T MRI. Our hypothesis that a field strength would result in improved reliability assessments predictions studies...

Objective Diagnosis and treatment of partial tears the ACL remains controversial. Patients that present a hard end positive Lachman negative pivot shift in context tear magnetic resonance imaging (MRI) have healing potential could avoid surgery. Platelet-Rich-Plasma (PRP) provides certain growth factors improve therefore, clinical outcomes after tears. The aim this study was to report results autologous intraarticular PRP injection patients with Methods Prospective cohort between 2015 2017...

Introducción: La sinovitis vellonodular pigmentada en pacientes sometidos a una artroplastia total de rodilla es un cuadro muy raro, causa poco clara, que puede provocar dolor, hemartrosis o, con menos frecuencia, aflojamiento la prótesis. Presentamos el caso hombre 54 años sometido izquierda, evolucionó dolor y derrame articular los tres meses operación. En las radiografías, se observaron signos y, ante sospecha infección, indicó revisión dos tiempos al año cirugía. Se detectó alteración...

Altwijri and Alsirhy reported a case of uveitis-glaucoma-hyphema syndrome after an Ahmed glaucoma valve implantation surgery in advanced primary open-angle patient, being the first ever recorded its kind. The author describes position tube as origin anterior chamber inflammation hyphema, which resolved shortly shortening relocating it. This publication emphasizes importance precise implant positioning close-up patient follow-up filtration important standard for healthcare providers.

The surgical approach for patellar instability usually refers to reconstruction of the medial patellofemoral ligament associated with an osteotomy tibial tuberosity or a trochleoplasty when required. patellotibial and patellomeniscal are secondary stabilizers patella. Despite this, both ligaments aid in rotation tilt knee is flexed beyond 45°. plays particularly important role final stages stretching extension between 40 degrees 90 flexion. clinical relevance indications still controversial....

Chronic patellar dislocation in the setting of severe knee osteoarthritis is a rare clinical problem. Surgical management often consists total arthroplasty combined with realignment extensor mechanism. Several techniques have been described to anatomically restore apparatus, and literature regarding this topic mainly case reports. We describe technique using medial patellofemoral ligament reconstruction allograft tissue resurfacing for treatment chronic osteoarthritis.

Although most patients who undergo anterior cruciate ligament (ACL) reconstruction achieve long-term functional stability and symptom relief, graft rupture rates range from 2% to 10%1,2. A small subset of these require a 2-stage revision ACL because tunnel osteolysis or malposition that will interfere with the planned placement3. In present article, we describe hybrid use arthroscopically delivered injectable allograft matrix in femur pre-shaped bone dowels tibia for treatment...

The documentation of psychological trauma is obviously a challenge to clinicians while they are diving deep into remote events related their clients or patients. potential role in the early developmental stages, and even existence adverse childhood experiences, important prove, yet it difficult do so. A diverse range methods have been applied, all which presumably benchmark big therapeutic step; however, these enthusiastic frequently not last for long. While hypnosis supporters, Freudian...

Objectives Anterior cruciate ligament reconstruction (ACLR) is one of the most common procedures performed by orthopaedic surgeons to date. As number ACL reconstructions continues increase, revision and multiple scenarios will become more frequent. The purpose our study was retrospectively analyze functional outcomes, return-to-sports concomitant in a series patients who had undergone repeat surgery. Methods We evaluated consecutive operated between 2011 2016 with minimum follow-up 2 years....

Objectives The purpose of our study was to evaluate the clinical outcomes and failure rate a series patients who underwent meniscal repair with minimum two-years follow-up. Methods We retrospectively reviewed treated between 2004 2016. included at least 2 years Surgical details such as affected menisci, type rupture technique used were analyzed. Clinical functional evaluated using Lysholm IKDC scores. Patients studied x-rays magnetic resonance imaging (MRI). analyzed (defined re-rupture that...

Objectives: The injured anterior cruciate ligament (ACL) has a limited healing capacity leading to persisting instability. Although several studies have reported spontaneous of torn ACLs, it is difficult determine its potential and whether patients will be able return sports activities. In 2011, we published series 14 with following complete ACL rupture, the mean follow up was 30 months (range 25-36 months). purpose this study evaluate long-term results in ruptures same group patients....

Objectives Lateral extra-articular augmentation procedure (LEAP) has been proposed as an additional technique in the setting of revision ACL Reconstruction (ACLR). Few case series have reported. The purpose this study was to compare clinical results and return sports a consecutive patients treated for ACLR with without LEAP. Methods We prospectively evaluated isolated between 2014 2015 (group 1) associated LEAP from 2016 2). analyzed surgical graft used primary All were at one-year follow-up...

Objective To assess the quality and variability of osteochondral allograft (OCA) transplantation rehabilitation protocols associated with academic orthopedic programs in United States. Design A systematic review was performed to collect all publicly available online for femoral condyle OCA transplant from US participating Electronic Residency Application Service. These were evaluated inclusion different components as well timing suggested initiation these activities. Results total 22...