Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2007
Review[Osteotomies in the treatment of osteochondral lesions of the knee joint].
Excellent results of total knee arthroplasty have outweighed high tibial osteotomy applications in the treatment of osteoarthritis of the knee joint, but there is a growing interest in osteotomies as an adjunct in the treatment of full-thickness chondral and osteochondral lesions of the knee. Abnormal biomechanics in both tibiofemoral and patellofemoral articulations resulting from instability and malalignment should be corrected and osteotomy should be regarded as the first step in the treatment of these lesions. ⋯ Clinical, radiographic, and experimental studies have shown beneficial effects of osteotomies on cartilage regeneration. The aim of the osteotomy is simple: cartilage needs proper biomechanical environment for healing.
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Acta Orthop Traumato · Jan 2007
[Total hip arthroplasty in patients with osteoarthritis secondary to developmental dysplasia of the hip: results after a mean of eight-year follow-up].
We evaluated eight-year results of total hip arthroplasty in patients with osteoarthritis secondary to developmental dysplasia of the hip (DDH). ⋯ Successful results can be obtained with good planning and proper surgical procedures in the treatment of osteoarthritis secondary to DDH.
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Acta Orthop Traumato · Jan 2007
Case Reports[The modifed Eden-Lange procedure for paralysis of the trapezius muscle].
Trapezius muscle paralysis results from injury to the spinal accessory nerve. Impairment in the trapezius muscle function may destabilize the muscle resulting in winged scapula. A 25-year-old university student who was active in sports had complaints of shoulder drop and pain on abduction. ⋯ Electromyography revealed isolated paralysis of the trapezius muscle. The patient underwent reconstruction with the modified Eden-Lange procedure. After a two-year follow-up, asymmetry in the shoulder decreased, there was no pain on active abduction, and the patient returned to active sports and was fully satisfied with the outcome.
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Acta Orthop Traumato · Jan 2007
[Treatment of osteochondral defects of the knee with autologous bone graft and chondrocyte transplantation: an overview together with our results].
Iliac bone grafting and matrix-guided autologous chondrocyte implantation (MACI) can be combined to treat large osteochondral defects of the knee. In this prospective study, we evaluated clinical and magnetic resonance imaging (MRI) findings after one and two years of this treatment method. ⋯ Matrix-guided autologous chondrocyte implantation combined with bone grafting may be successfully used in remodeling the joint surface, without causing donor site morbidity within the knee joint. In addition, subchondral pathologic alterations may be effectively treated. Magnetic resonance imaging is a reliable technique to evaluate the repair process.
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Acta Orthop Traumato · Jan 2007
[The importance of finger extension test in the diagnosis of occult wrist ganglion].
The aim of this study was to evaluate the accuracy of diagnostic tools in comparison with surgical results of occult ganglion cyst of the wrist, which is one of the causes of chronic wrist pain. ⋯ Finger extension test is an important diagnostic tool for occult ganglion with 92% accuracy. Both diagnosis and treatment of occult ganglion cysts have become easier by evolving diagnostic tools.