Background: Although several studies have compared a conventional transtibial technique with an anteromedial (AM) portal for single-bundle (SB) anterior cruciate ligament (ACL) reconstruction, no study to date has investigated whether the modified results in femoral tunnel being similar anatomic position and produces clinical outcomes those of AM technique. Purpose: To compare SB ACL reconstruction using (creating varus internal rotation tibia as well modification tibial orientation) Study...

Background: Osteonecrosis of the femoral head is classified into idiopathic and secondary forms.A number etiological factors in development osteonecrosis have been suggested but biological mechanisms are still unclear.Recently, some reports that apoptosis closely related to head.Therefore, this study examined expression head. Methods:Of patients diagnosed preoperatively with underwent total hip replacement arthroplasty between August 2004 July 2005, 58 (58 hips) were available for...

To overcome the limitation of short-term efficacy virtual reality (VR), an enhanced (ER) analgesia, (combination VR, real-time motion capture, mirror therapy [MT]) involving a high degree patients' presence or embodiment was explored. Patients, who underwent unilateral total knee arthroplasty (TKA), received ER analgesia. The duration 5 times week, for 2 weeks one group and 1 week in other. Visual Analogue Scale (VAS) at rest during movement, active range (ROM) flexion extension were...

To evaluate minimum 5-year follow-up clinical and radiological results of total knee arthroplasty (TKA) using a posterior cruciate ligament sacrificing (PS), non-substituting Advance Medial Pivot Knee.One hundred twenty knees in 80 patients who could be followed up for more than 5 years after TKA the PS Knee were evaluated retrospectively. The evaluations included preoperative postoperative range motion (ROM), tibiofemoral angle, Society (KS) function scores, Western Ontario McMaster...

Background: The origins and shapes of accessory digits in postaxial polydactyly the foot were analyzed morphologically radiographically, their characteristics determined. A simple classification method was then devised to assist determining most appropriate treatment options. Methods: We evaluated 113 feet 95 patients who had surgery for between 1998 2002. Based on morphologic, radiographic, operative findings, cases classified according origin digit: middle phalangeal, proximal floating,...

This study assessed the levels of soluble tumor necrosis factor-like weak inducer apoptosis (TWEAK) and matrix metalloproteinase 1 (MMP-1) in synovial fluid from osteoarthritic knees to determine their role as well relationship between these severity osteoarthritis (OA).Synovial was obtained 44 40 patients. The Kellgren-Lawrence (KL) grade measured using radiograph. concentration TWEAK MMP-1 by enzyme-linked immunosorbent assay. underlying inflammatory factors (erythrocyte sedimentation rate...

The purpose was to analyze the relationship between posterior tibial slope (PTS) and mucoid degeneration of anterior cruciate ligament (ACL) in patients with total knee arthroplasty.Four hundred twenty-four (24 males 400 females; 636 knees) who received arthroplasty for osteoarthritis were included. Their mean age 68.9 years (range, 48 88 years). classified into three groups according status ACL; normal ACL group (group I), II) ruptured or absent III). Plain lateral radiographs used measure...

To investigate the patterns of medial meniscus (MM) tears in patients with varus knee osteoarthritis who underwent total arthroplasty and analyze factors that could affect MM tears.The (365 knees, 268 patients) were classified into three groups; group I posterior horn (PH) tear only; II root III MMPH plus tear. The following evaluated: age, gender, body mass index, deviation mechanical axis, proximal tibial angle, slope (PTS), anterior cruciate ligament (ACL) integrity (normal, degeneration,...

Unlike meniscal tears and chondral defects, the mucoid degeneration of anterior cruciate ligament (ACL) is a rare cause knee pain there have been no case reports both ACL posterior (PCL). A 48-year-old-male patient presented with limitation motion. The patient's magnetic resonance imaging, arthroscopic findings, pathologic diagnosis confirmed clinical PCL. symptoms disappeared after partial excision

Previous studies support the important role of vascular endothelial growth factor (VEGF) and syndecan-4 in pathogenesis osteoarthritis (OA). Both VEGF are expressed by chondrocytes both involved regulation matrix metalloproteinase-3, resulting activation aggrecanase II (ADAMTS-5), which is essential OA. However, relationship between has not been established. As a pilot study, we assayed expression cartilage samples cultured from osteoarthritic knee joints analysed these two factors....

Purpose : To assess the causes of revision total knee arthroplasty (TKA). Materials and Methods The 90 arthroplasties were analyzed in 84 patients between December 1996 June 2006. patients’ history, medical records radiographs reviewed order to detect main cause failure primary TKA. Results TKA are as follows: 34 infections (37.8%), 26 loosenings (28.9%), 17 polyethylene wears or breakages (18.9%), 5 stiffness (5.6%), 4 dislocations (4.4%), 2 patellar (2.2%), 1 component instability (1.1%)....

We aimed to evaluate the effect of vitamin D levels on functional outcome elderly women who underwent total knee arthroplasty (TKA).Seven hundred and four patients (1013 knees) primary TKA were included in our retrospective study. Preoperative measured relationship analyzed between these age, weight, height, body mass index, bone mineral density. Two twenty (220 received unilateral followed up for more than 1 year after operation divided into two groups: Group 1, serum 25-hydroxyvitamin D3...

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