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the damaged bone and the implant. They add stability and stiffness to the construct, protect bone defect reconstruction and, if canal filling, they help re-instate joint alignment and component position. The evaluation of ligament competence
Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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medial patellofemoral ligament (MPFL) 29 and, according to some authors, 30 also those with MPFL injury at its patellar insertion. In this regard, different techniques of MPFL repair or reconstruction have been reported to deal with such
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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tuberosity osteotomy and/or reconstruction of the medial patellofemoral ligament could present as an option. Type 5 Type 5 defines cases where the pre-arthritic knee anatomy is difficult to estimate because of substantial articular bone loss for
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Introduction Knee stiffness is a widely known and worrying condition in several postoperative knees, such as total knee arthroplasty (TKA) or anterior cruciate ligament (ACL) reconstruction ( 1 , 2 , 3 , 4 ). However, less is known about
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. Lateral/postero-lateral ligament insufficiency may also prevail in these circumstances. The HTO is usually performed first since this alone may give sufficient relief of symptoms, especially in low-demand patients, but ligament reconstruction can be
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Lopez-Quiles D . Extensor apparatus reconstruction with Leeds-Keio ligament in total knee arthroplasty . J Arthroplasty 1999 ; 14 : 204 – 208 . 37. Levin PD . Reconstruction of the patellar tendon using a dacron graft: a
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Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
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% of their cohort needed a second stage procedure consisting of ligament reconstruction. Techniques Many PTO techniques have been developed and used in history, but today, opening- and closing-wedge osteotomy are the most commonly used (see
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-operative picture of a knee in a figure-of-four position. Double-tunnel posterolateral root repair and an anatomical single bundle anterior cruciate ligament reconstruction (ACL-R) were performed. Tibial tunnels for ACL-R and posterolateral root repair were created
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Joint Surg [Am] 2016 ; 98-A : 417 - 27 . 12. Nelitz M Dreyhaupt J Lippacher S . Combined trochleoplasty and medial patellofemoral ligament reconstruction for recurrent patellar dislocations in severe trochlear
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facilitate the joint reconstruction and not complicate it. Extended approaches to achieve wide exposure reduce surgical time and facilitate component removal, soft tissue balancing, bone reconstruction and long-stemmed component implantation. 6 However
