Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Aug 2012
Static and dynamic postural control in competitive athletes after anterior cruciate ligament reconstruction and controls.
To evaluate the test-retest reliability and compare the static and dynamic postural control values in competitive athletes following anterior cruciate ligament (ACL) reconstruction and controls. ⋯ Prognostic study, case-control, Level III.
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Knee Surg Sports Traumatol Arthrosc · Aug 2012
MRI but not arthroscopy accurately diagnoses femoral MPFL injury in first-time patellar dislocations.
The purpose of this study was to investigate whether the femoral part of the medial patellofemoral ligament (MPFL) and its injury can be accurately assessed by standard knee arthroscopy in first-time patellar dislocations or whether preoperative MRI is required to determine injury location in patients where primary MPFL repair is attempted. ⋯ Diagnostic study of non-consecutive patients, Level III.
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Knee Surg Sports Traumatol Arthrosc · Aug 2012
Case ReportsDisplaced osteochondral fracture of the lateral femoral condyle associated with an acute anterior cruciate ligament avulsion fracture: a corollary of "the lateral femoral notch sign".
Anterior cruciate ligament (ACL) rupture is usually accompanied by bone contusions resulting from impact of tibia on femur. The injury sometimes becomes manifest as a depression on the lateral femoral condyle giving rise to "lateral femoral notch" sign. The authors describe a rare case of impaction of the tibia and femur resulting in an osteochondral fracture rather than the usual bone contusion, which frequently occurs with ACL rupture. Open reduction and internal fixation of both the ACL avulsion fracture and the osteochondral fracture from the lateral femoral condyle were done, and the patient had a good outcome at 1-year follow-up. Level of evidence V.
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Knee Surg Sports Traumatol Arthrosc · Jun 2012
ReviewOsteochondral tissue engineering approaches for articular cartilage and subchondral bone regeneration.
Osteochondral defects (i.e., defects which affect both the articular cartilage and underlying subchondral bone) are often associated with mechanical instability of the joint and therefore with the risk of inducing osteoarthritic degenerative changes. This review addresses the current surgical treatments and most promising tissue engineering approaches for articular cartilage and subchondral bone regeneration. ⋯ Systematic review, Level III.
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Knee Surg Sports Traumatol Arthrosc · Jun 2012
Clinical TrialOsteochondral transplantation using autografts from the upper tibio-fibular joint for the treatment of knee cartilage lesions.
Treatment of large cartilage lesions of the knee in weight-bearing areas is still a controversy and challenging topic. Autologous osteochondral mosaicplasty has proven to be a valid option for treatment but donor site morbidity with most frequently used autografts remains a source of concern. This study aims to assess clinical results and safety profile of autologous osteochondral graft from the upper tibio-fibular joint applied to reconstruct symptomatic osteochondral lesions of the knee. ⋯ Case series, Level IV.