The Total Condylar Prosthesis is a non-hinged unit designed to: replace the patellofemoral articulation; improve fixation of tibial component by means stout central peg; permit accurate and reproducible insertion. cruciate ligaments are excised to obtain better fixation. Instability has not been problem except in few cases technical error (removal excessive bone from tibia creates instability flexion). prosthesis cannot be positioned "eye" instrumentation must applied exactly.

Unicompartmental knee arthroplasty was conceived for the treatment of osteoarthritic knees with deterioration either medial or lateral compartment knee. The Unicondylar prosthesis used in 19 and 5 arthroplasties. A two to 4 year follow-up evaluation these patients somewhat disappointing as only could be rated excellent 6 a good result. best results were seen Such deformities may future indication use this operation do not well when treated by tibial osteotomy. However, is involved, osteotomy...

As strategies are considered for improving fixation of femoral components in total hip arthroplasty (THA), one is challenged to exceed the standard set by contemporary cement procedures. However, despite improved ten- 15-year clinical results anticipated with current cementing techniques, limited fatigue strength polymethylmethacrylate warrants continued investigation alternative systems, particularly younger patients and revision arthroplasty. Design considerations stems cementless THA...

Lateral hip pain is a common complaint in patients with history of lower back from spinal disease. These often are diagnosed and treated for trochanteric bursitis because localized tenderness the lateral hip. We presumed numerous scintigraphic features could provide diagnostic criteria diagnosing gluteus medius tendinitis bursitis. A study was designed to assess diagnosis evaluate relationship lumbar degenerative disease predicting relapse after injection. evaluated 97 greater syndrome find...

This prospective study presents the ten-year (5 to 16) clinical and radiological results of 55 primary total hip replacements (THR) using a cementless modular femoral component (S-ROM). All patients had significant anatomical abnormality which rendered THR difficult. The mean Harris score was 36 (12 72) pre-operatively, 83 (44 100) at five years, 85 (45 99) ten years. Western Ontario McMaster Universities osteoarthritis index (WOMAC) short-form (SF)-12 scores were recorded from year 2000....

Abstract Background In order to emulate normal knee kinematics more closely, and thereby potentially improve wear characteristics implant longevity, the medial pivot‐type replacement geometry was designed. current study outcome of 50 consecutive replacements using a compared with results in A ustralian O rthopaedic ssociation N ational J oint R eplacement egistry. Methods Pre‐ post‐operatively at follow‐up evaluation consisted K nee S ociety score system W estern ntario M cMaster U...

A discoid medial meniscus is a rare pathology of the knee joint, and even rarer when it presents bilaterally with clinical symptoms.We present case 38-year-old female symptomatic bilateral meniscus. Magnetic Resonance Imaging (MRI) showed complete in one incomplete, on other side. The MRI findings were confirmed arthroscopy, horizontal cleavage tear both knees. Arthroscopic partial meniscectomies menisci performed.The patient had an excellent functional outcome at most recent follow-up, no...

The objective of this study was to develop a method evaluate the biomechanical performance Bankart repairs in human cadaveric shoulder clinically relevant orientation. Twenty fresh-frozen girdles were used compare intact anteroinferior capsulolabral complexes with three lesion reconstruction techniques. Repairs performed on surgically created lesions. Evaluations shoulders glenohumeral abduction and external rotation. repair techniques employed interosseous sutures, Mitek GII suture anchors,...

In an effort to increase strength in hamstring tendon grafts for anterior cruciate ligament reconstruction, braiding or weaving of the tendons has been suggested. The purpose this study was examine biomechanical properties two techniques compared with a four-stranded graft using sheep model. Digital extensor from 5 adult were harvested 28 matched pairs and randomly allocated French plait weave. tested hydraulic testing machine secured brass grips frozen liquid carbon dioxide. preconditioned...

Patellofemoral problems are common in skeletally immature patients. In the evaluation of this condition, it is important to determine position patella on lateral radiographs. There no normal values ratio (patellar tendon-to-patella ratio). study, 225 anteroposterior (AP) and radiographs knees were examined bone ages determined. The patellar was then calculated for each age group until skeletal maturity. These ratios allow a more accurate assessment alta pediatric population, assisting...

Background: Ionizing radiation from intraoperative fluoroscopy presents a serious occupational health and safety concern to orthopaedic surgeons. The long-term effects of ionizing are well known; they include damage the eyes, increased risk haematological malignancy carcinomas throughout body.1-3 We studied effect using an attachable laser aiming guide on exposure during fluoroscopy. Methods: A prospective, randomized controlled trial was performed at single institution. Eight hundred eighty...

Patellofemoral problems are common in skeletally immature patients. In the evaluation of this condition, it is important to determine position patella on lateral radiographs. There no normal values ratio (patellar tendon-to-patella ratio). study, 225 anteroposterior(AP) and radiographs knees were examined bone ages determined. The patellar was then calculated for each age group until skeletal maturity. These ratios allow a more accurate assessment alta pediatric population, assisting...

BACKGROUND: Achieving functional independence as early possible is a major factor in the management of patients following Total Knee Replacement (TKR). The aim this study was to evaluate effect an mobilisation program for after TKR. METHODS: This prospective random ised controlled study. Twenty were allocated mobilization group who mobilised within 4–6 hours surgery and another twenty control followed standard protocol mobilising 24 surgery. Primary outcome measures length hospital stay pain...