Bone marrow aspirate concentrate (BMAC) has emerged as a novel treatment for pathology of the knee. Despite containing limited number stem cells, BMAC serves source growth factors that are thought to play an important role result their anabolic and anti-inflammatory effects. To our knowledge, there is no systematic review regarding outcomes bone used chondral defects osteoarthritis knee.To perform on knee.Systematic review; Level evidence, 4.A literature was performed using Cochrane Database...

Outcomes after transtibial pull-out repair for posterior meniscal root tears remain underreported, and factors that may affect outcomes are unknown. Purpose/Hypothesis: The purpose of this study was to compare patient-centered in patients <50 ≥50 years age. We hypothesized improvement function activity level at minimum 2-year follow-up would be similar among age compared with undergoing medial versus lateral repairs.Cohort study; Level evidence, 3.Inclusion criteria were aged 18 or older who...

Meniscal ramp lesions are more frequently associated with anterior cruciate ligament (ACL) injuries than previously recognized. Some authors suggest that this entity results from disruption of the meniscotibial ligaments posterior horn medial meniscus, whereas others support idea it is created by a tear peripheral attachment meniscus. Magnetic resonance imaging (MRI) scans have been reported to low sensitivity, and consequently, often go undiagnosed. Therefore, rule out lesion, an...

Restoration of anteroposterior laxity after an anterior cruciate ligament reconstruction has been predictable with traditional open and endoscopic techniques. However, anterolateral rotational stability difficult to achieve in a subset patients, even appropriate anatomic Therefore, differing techniques have attempted address this by augmenting or reconstructing lateral-sided structures about the knee. In recent years, there renewed interest as potential contributor residual rotatory...

Meniscal repair in the setting of anterior cruciate ligament (ACL) reconstruction has demonstrated superior outcomes compared with isolated meniscal repair. Limited evidence exists for effects biological augmentation repair, particularly as concomitant ACL reconstruction. Purpose/Hypothesis: The purpose this study was to compare and survivorship 2 cohorts patients: using a marrow venting procedure (MVP) intercondylar notch, We hypothesized that clinical would be improved augmentation.Cohort...

Background: Lateral compartment osteoarthritis of the knee can be a challenging pathology in younger, active population due to limited treatment options and high patient expectations. Distal femoral osteotomy (DFO) has been reported potential option. Purpose: To perform systematic review on survival, outcomes, complications DFO for genu valgum with concomitant lateral knee. Study Design: Systematic review; Level evidence, 4. Methods: A literature was performed using Cochrane Database...

Posterolateral corner injuries represent a complex injury pattern, with damage to important coronal and rotatory stabilizers of the knee. These lesions commonly occur in association other ligament injuries, making decisions regarding treatment challenging. Grade III posterolateral result significant instability have poor outcomes when treated nonoperatively. As result, reconstruction is advocated. A thorough knowledge anatomy essential for surgical this pathology. The following technical...

Background: In recent years there has been an increasing interest in high tibial osteotomy (HTO) to treat patients with chronic knee instability due posterolateral corner (PLC), posterior cruciate ligament (PCL), and anterior (ACL) insufficiencies concurrent malalignment the coronal and/or sagittal plane. Purpose: To perform a systematic review of use HTO for treatment malalignment. Study Design: Systematic review; Level evidence, 4. Methods: A literature was conducted combined using...

The posterior cruciate ligament (PCL) is known to be the main stabilizer of knee. Anatomic single-bundle PCL reconstruction, focusing on reconstruction larger anterolateral bundle, most commonly performed procedure. Because residual and rotational tibial instability after procedure inability restore normal knee kinematics, an anatomic double-bundle has been proposed in effort re-create native footprint more closely kinematics. We detail our technique for using Achilles anterior tibialis...

Revision anterior cruciate ligament reconstruction (ACLR) is becoming increasingly common as the number of primary ACLR cases continues to rise. Despite this, there are limited data on outcomes revision and even less information specifically addressing differences in 1-stage versus those performed a 2-stage fashion after reconstruction.To compare outcomes, patient satisfaction, failure rates ACLR.Cohort study; Level evidence, 3.All patients who underwent between 2010 2014 by single surgeon...

Background: The anterolateral meniscal root (ALMR) has been reported to intricately insert underneath the tibial insertion of anterior cruciate ligament (ACL). Previous studies have begun evaluate relationship between areas and risk iatrogenic injuries; however, overlap insertions yet be quantified in sagittal coronal planes. Purpose: To investigate human ACL ALMR using scanning electron microscopy (SEM) quantify Study Design: Descriptive laboratory study. Methods: Ten cadaveric knees were...

Preservation of meniscal tissue has been proven to be the best approach in most cases tears. Currently available techniques for treating a peripheral tear include inside-out, outside-in, and all-inside techniques. Each these present potential advantages disadvantages. Despite technologic advances devices, because implant-related complications, cost concerns, device availability, inside-out technique is still preferred method among many surgeons. Although repair considered more technically...

Hip capsulotomy is routinely performed during arthroscopic surgery to achieve adequate exposure of the joint. Iatrogenic instability can result after hip because capsular insufficiency, which be avoided with effective closure capsule. There currently no consensus in literature regarding optimal quantity sutures upon maximal stability postoperatively. Purpose/Hypothesis: The purpose this study was determine failure torques 1-, 2-, and 3-suture constructs for resist external rotation extension...

Outcomes of primary anterior cruciate ligament (ACL) reconstruction have been reported to be far superior those revision reconstruction. However, as the incidence ACL is rapidly increasing, so number failures. The subsequent need for estimated occur in up 13,000 patients each year United States. Revision can performed one or two stages. A two-stage approach recommended cases improper placement original tunnels unacceptable tunnel enlargement. aim this study was describe technique allograft...

Background/Objectives: Reported patient results after total hip arthroplasty (THA) have been described as a function of surgical approach. Such commonly subjective. Though self-reported outcomes are value and often utilized, inclusion functional performance measures represents an objective measure to compare THA techniques. Methods: Patients that underwent primary surgery at our institution were grouped by approach (Direct Anterior vs Posterior). Patient data collected pre-operatively, well...

Meniscal root tears are increasingly recognized as an important pathology. Failure to recognize this pathology could lead early onset osteoarthritis of the ipsilateral knee joint compartment similar a total meniscectomy. Therefore, surgical treatment is necessary restore meniscal function and normalize contact pressures, when there overload sufficient remaining articular cartilage. This article details our anatomic posterior repair procedure using transtibial double tunnel pullout technique.

Genu varus malalignment can lead to medial compartment overload and progression of ipsilateral osteoarthritis. To slow this process, a opening wedge proximal tibial osteotomy (PTO) be performed. This type PTO is indicated in patients with genu isolated osteoarthritis the knee, prior or concurrent cartilage procedures meniscal transplants, chronic posterolateral corner deficiency, anterior cruciate ligament deficiency. When treating ligamentous instability, performed isolation, simultaneous...

Articular cartilage damage of the knee can cause severe morbidity. Owing to its avascular nature, articular has limited potential for self-healing and increased propensity progress osteoarthritis. Treatment large, full-thickness defects is still a challenge orthopaedic surgeons but recently achieved high success rates with use osteochondral allografts. This article details our technique allograft transplantation treatment knee.