Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Sep 2019
Comparative StudyInjection with autologous conditioned serum has better clinical results than eccentric training for chronic Achilles tendinopathy.
Chronic Achilles tendinopathy is one of the most common causes of malfunction and pain, which can lead to a significant reduction of the quality of life. The hypothesis of this study argues that autologous conditioned serum (i.e. Orthokine) injections in chronic midportion Achilles tendinopathy have a better outcome than eccentric training. ⋯ Therapeutic studies, Level III.
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Knee Surg Sports Traumatol Arthrosc · Sep 2019
Patients' expectations of osteotomies around the knee are high regarding activities of daily living.
This study was conducted to investigate patients' expectations on high tibial osteotomies, distal femur osteotomies, and double-level osteotomies in different health-related domains. It was hypothesized that expectations are high in terms of capacity to work, pain relief, and restoring knee function. ⋯ Therapeutic study, Level II.
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Knee Surg Sports Traumatol Arthrosc · Sep 2019
Open reconstruction with autologous spongiosa grafts and matrix-induced chondrogenesis for osteochondral lesions of the talus can be performed without medial malleolar osteotomy.
To evaluate complication rates and postoperative outcomes in patients with osteochondral lesions of the talus who underwent an autologous matrix-induced chondrogenesis (AMIC) procedure with autologous spongiosa grafting without malleolar osteotomy. ⋯ Therapeutic case series, Level IV.
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Knee Surg Sports Traumatol Arthrosc · Aug 2019
ReviewRecognition of evolving medial patellofemoral anatomy provides insight for reconstruction.
The scientific literature concerning the anatomy of medial soft-tissue stabilizers of the patella is growing exponentially. Much of the surgical literature has focused on the role of the medial patellofemoral ligament (MPFL) and techniques to reconstruct it, yet our understanding of its anatomy has evolved during the past several years. Given this, we report on the current understanding of medial patellofemoral anatomy and implications for reconstruction. ⋯ V.
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Knee Surg Sports Traumatol Arthrosc · Aug 2019
Randomized Controlled TrialLateral retinacular release is not recommended in association to MPFL reconstruction in recurrent patellar dislocation.
Reconstruction of the medial patellofemoral ligament (MPFL) has become the gold standard for the treatment of the recurrent patellar dislocation (RPD). Lateral retinacular release can be performed in association with MPFL reconstruction, but the effect on outcomes is not clear. To evaluate the effect of lateral release on outcomes following MPFL reconstruction is the aim of this study. It is hypothesized that isolated MPFL reconstruction was not inferior to MPFL reconstruction and lateral retinacular release in terms of IKDC subjective score and patellar tilt (PT). ⋯ II.