Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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the purpose of this article was to systematically analyze the results of published studies in the literature which evaluated the use of arthroscopically assisted techniques in intra-articular fracture fixation. ⋯ arthroscopic fixation is increasingly utilized for certain intra-articular fracture types due to the minimally invasive nature of the procedures and high accuracy. Randomized controlled trials are needed to justify wider use of arthroscopy-assisted techniques for treatment of intra-articular fractures.
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Knee Surg Sports Traumatol Arthrosc · Feb 2011
Oxford Phase 3 unicompartmental knee arthroplasty: medium-term results of a minimally invasive surgical procedure.
in the last decade, a major increase in the use of and interest in unicompartmental knee arthroplasty (UKA) has developed. The Oxford Phase 3 UKA is implanted with a minimally invasive technique using newly developed instruments. The objective of this prospective study was to evaluate the outcome of UKA in patients with medial osteoarthritis of the knee in a high-volume unit. ⋯ this study showed a high survival rate of the Oxford Phase 3 UKA. Patient satisfaction and functional performance were also very high. Major complication rate was low; in addition, the incidence of radiolucency under the tibial component, when compared to present literature, was low. When strict indication criteria are followed, excellent, durable, and in our opinion reliable, results can be expected for this procedure.
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Knee Surg Sports Traumatol Arthrosc · Jan 2011
Randomized Controlled Trial Comparative StudyNo difference in early functional outcomes for mini-midvastus and limited medial parapatellar approaches in navigation-assisted total knee arthroplasty: a prospective randomized clinical trial.
Patients desire less pain and faster recovery of range of knee motion after total knee arthroplasty (TKA). While minimal invasive surgery (MIS) TKA appears to meet these needs, concerns exist regarding component malpositioning. Navigation systems can reduce the incidence of component misalignment. ⋯ There were also no differences between groups in terms of total blood loss, approach preferred by patients, and radiographic component positioning. The present study found that navigation-assisted MMV and navigation-assisted LMPP resulted in similar outcomes in terms of pain, ROM, HSS score, and radiologic outcomes over the first six postoperative months. We recommend the LMPP approach over the MMV approach in navigation-assisted MIS TKA because it is more familiar to surgeons and is easier to convert to the conventional approach where necessary.
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Knee Surg Sports Traumatol Arthrosc · Jan 2011
Randomized Controlled TrialEffects of periarticular steroid injection on knee function and the inflammatory response following Unicondylar Knee Arthroplasty.
There is little information on the values of CRP and ESR as markers for inflammation in Unicondylar Knee Arthroplasty. The effect of periarticular steroid injection in post-operative pain relief and clinical recovery has not been well studied. Eighty-three consecutive patients undergoing primary UKAs were randomized to receive either an intra-operative periarticular injection with a local anaesthetic and adrenaline or with the addition of triamcinolone acetonide. ⋯ Patients were assessed daily till discharge and up to 6 months post-operatively. Plasma CRP and ESR fluctuate after a UKA, with normalizing values indicating uneventful recovery. Periarticular steroid injections reduce post-operative pain and inflammation, and are clinically relevant as they improve short-term functional recovery and clinical parameters, resulting in better outcomes for patients without having major complications.
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Knee Surg Sports Traumatol Arthrosc · Dec 2010
Stabilization for chronic sternoclavicular joint instability.
We present a surgical reconstruction technique for chronic unstable sternoclavicular (SC) joint utilizing the tendon of sternocleidomastoid (SCM) muscle and additional augmentation utilizing the palmaris longus free tendon graft to secure the medial end of the clavicle to the first rib. This double stabilization procedure may strengthen the SC joint fixation for the chronic SC joint instability.