The aim of this study was to report a long-term follow-up patients treated with autologous matrix-induced chondrogenesis (AMIC) for full-thickness chondral and osteochondral defects the femoral condyle or patella combined correction lower limb malalignment patellar tracking if indicated.Thirty-three (thirty-four knees) were surgically cartilage knee joint. Regarding origin lesion, divided into three groups. Chondral lesions observed in (cP group) fifteen patients, whereas eight demonstrated...

Background: The medial patellofemoral ligament (MPFL) serves as the primary stabilizer of joint, and surgical reconstruction aims to replicate its biomechanical properties. However, misplacement femoral tunnel remains a major problem that leads revision after surgery for patellar instability. C-arm technique identifying origin MPFL (fMPFL) during may not account individual variability. Magnetic resonance imaging (MRI) allows personalized fMPFL identification. CLASS (Compressed Lateral...

Background/Objective: Tibial eminence avulsion fracture (TEAF) is a traumatic injury of the anterior cruciate ligament that occurs in children with an immature skeletal system. It has incidence 3 per 100,000 children, increasing prevalence over time. The objective this study was to evaluate long-term clinical and subjective outcomes displaced TEAF requiring surgical intervention assess return sport. Methods: A retrospective cohort conducted, identifying all patients who underwent...

Abstract Introduction Dynamic Intraligamentary Stabilization (DIS) is a technique for preservation, anatomical repair and stabilization of freshly injured anterior cruciate ligament (ACL). The main purpose this study was to evaluate the short-term re-operation rate when compared traditional autograft reconstruction. Methods Four, from developer independent, centres enrolled patients that underwent ACL by DIS, according specific indications given MRI imaging at minimum follow-up 12 months....

There is no consensus on the best treatment for anterior cruciate ligament hypoplasia or aplasia. To our knowledge, comparative study between operative and conservative of this condition has ever been performed. Conservative a viable alternative to surgery ACL Two siblings were examined at outpatient clinic. The male patient underwent bilateral reconstruction, while his sister was treated conservatively. Our results show worse long-term outcome patient. At her last follow-up, female...

Malposition of the femoral tunnel during medial patellofemoral ligament (MPFL) reconstruction may increase risk recurrence patellar dislocation due to isometric changes flexion and extension. Different methods have been described identify MPFL point using fluoroscopy. However, malposition was found be cause 38.1% revisions redislocation. This high rate has raised question individual anatomical variability.Magnetic resonance imaging (MRI) performed on 80 native knees CLASS (MRI-generated...

Abstract Purpose This study's main objective is to assess the feasibility of processing MRI information with identified ACL-footprints into 2D-images similar a conventional anteroposterior and lateral X-Ray image knee. The secondary aim conduct specific measurements reliability reproducibility. study proof concept this technique. Methods Five anonymised MRIs right knee were analysed. A orthopaedic surgeon performed footprints identification. An ad-hoc software allowed volumetric 3D...

Abstract Purpose In modern anterior cruciate ligament (ACL) surgery, the focus is usually on anatomical reconstruction to restore natural kinematics of knee. The individual optimal positioning ACL footprints (FPs) in primary surgery still controversial and, especially revision difficult realize surgically. this regard, a new MRI‐based sequence, Compressed Lateral and anteroposterior Anatomic Systematic Sequence (CLASS) with marked femoral tibial FPs as template, could help. purpose study was...

Arthrofibrosis is defined as an excessive fibrotic tissue response within a joint leading to painful loss of motion. This pathological scar formation process with dysregulated, inordinate extracellular matrix formation, especially collagen, may occur in any joints, although frequently localized the knee. Different etiologies have been described and most them are related trauma, infection or recent surgical procedure. Although arthrofibrosis affects people all ages, it unusual pediatric...

Fractures in the elderly population are a major increasing issue for any healthcare institution, associated with growing life expectancy. Proximal tibial fractures affect metaphyseal bone or without articular extension, 5 to 11% of all tibia fracture. Treatment options such as plate fixation, intramedullary nailing even primary total knee arthroplasty accepted valuable options. However, specific age-related risk factors osteoporosis, arthritis, multiple comorbidities and soft-tissue...

Vascular casting is a widely used method for the representation of body vascularization. Many different injection materials have been described throughout time to enhance arterial vascular supply within specifically defined anatomical location. The use industrial polyurethane has recently evaluated and applied animal human anatomy. aim this study was confirm safe reliable in knee specimen order obtain three-dimensional tree distal femur. 10 fresh-frozen knees (mid-thigh mid tibia) were...

An iron deficient athlete is likely to develop deficiency anemia, a pathology that may lead decrease in performance. If adult athletes, women and men, are aware of the need for regular monitoring, young people under 18 not necessarily risks associated with competitive sports practice presence anemia. Even if guidelines well known described, lack monitoring found aforementioned age group. In junior female athletes practicing basketball, significant rate or even anemia was during annual...

On October 8th 2005, a violent earthquake struck the northern region of Pakistan resulting in large number injuries and deaths. In response to this catastrophe, Swiss Agency for Development Cooperation (SDC) offered logistic support, including material medical staff. After evaluating needs, SDC sent two surgeons city Mansehra short term mission. At that site college had been transformed into field hospital by multidisciplinary Pakistani team, already busy at work. Up 200 casualties per day...