Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Feb 2016
Historical ArticleHistory of shoulder instability surgery.
The surgical management of shoulder instability is an expanding and increasingly complex area of study within orthopaedics. This article describes the history and evolution of shoulder instability surgery, examining the development of its key principles, the currently accepted concepts and available surgical interventions. ⋯ IV.
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Knee Surg Sports Traumatol Arthrosc · Feb 2016
Primary anterior dislocation of the shoulder: long-term prognosis at the age of 40 years or younger.
We describe the long-term prognosis in 257 first-time anterior shoulder dislocations (255 patients, aged 12-40 years) registered at 27 Swedish emergency units between 1978 and 1979. ⋯ Almost half of all first-time dislocations at the age of <25 years will have stabilising surgery and two-thirds will develop different stages of arthropathy within 25 years.
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Knee Surg Sports Traumatol Arthrosc · Jan 2016
Patient-specific instrumentation improved mechanical alignment, while early clinical outcome was comparable to conventional instrumentation in TKA.
The aim of this prospective study was to compare early clinical outcome, radiological limb alignment, and three-dimensional (3D)-component positioning between conventional and computed tomography (CT)-based patient-specific instrumentation (PSI) in primary mobile-bearing total knee arthroplasty (TKA). ⋯ Prospective comparative study, Level II.
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Knee Surg Sports Traumatol Arthrosc · Jan 2016
Good survivorship of all-polyethylene tibial component UKA at long-term follow-up.
To determine the long-term survival rate of an all-polyethylene tibial unicompartmental knee arthroplasty (UKA) in a large series of consecutive patients and to investigate the possible factors that could influence the outcome. ⋯ Retrospective Therapeutic Study, Level IV.
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Knee Surg Sports Traumatol Arthrosc · Jan 2016
The difference in centre position in the ACL femoral footprint inclusive and exclusive of the fan-like extension fibres.
The purpose of this study was to compare the centre position of each anterior cruciate ligament bundle in its femoral footprint in measurements including and excluding the fan-like extension fibres. ⋯ The centre position of the AM and PL bundles in the femoral ACL footprint was significantly different depending on the inclusion or exclusion of the fan-like extension fibres. For the clinical relevance, to reproduce the direct femoral insertion in the anatomical ACL reconstruction, tunnels should be placed relatively shallow and high in the femoral ACL footprint.