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tibia with the release of the deep medial collateral ligament (MCL) to the postero-medial capsule is performed. The superficial MCL may be elevated more distally to extend the medial release. To gain adequate joint exposure, intraarticular adhesions are
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reconstruction methods, such as bone cement and screws, autologous bone grafting, or metal augmentation. If the collateral ligament cannot be properly balanced, a VVC system can be an option. For types IIb and III, it is necessary to use blocks, wedges
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stability by osseous structures, ligaments and muscles. The grooved form of the trochlea prevents the patella from dislocation, as well as the medial patellofemoral ligament (MPFL, see Fig. 1 ) and the vastus medialis oblique. 4 These structures each
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-post extension was placed a revision reconstruction of the extensor mechanism with an extensor mechanism allograft Atraumatic disengagement, persistent instability, particularly with an incompetent extensor mechanism, may act synergistically to disengagement of
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Sports Traumatol Arthrosc 2012 ; 20 : 579 - 585 . 12. Tinius M Hepp P Becker R . Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction . Knee Surg Sports Traumatol Arthrosc 2012
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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replacement and finally patellar tendon ruptures associated with multi-ligament injuries of the knee. Early surgical repair with or without augmentation in the first few weeks following injury is advisable in acute injuries as delayed treatment results in
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% patellar instability and 6% implant rupture). The conclusion was that this implant should be used only in knees in which there is a functional absence of a collateral ligament that cannot be managed by soft-tissue reconstruction. 9 In 1989, Shaw et al
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Arthroplasty 2020 35 265 – 271 . ( https://doi.org/10.1016/j.arth.2019.08.004 ) 24. Ventura A Legnani C Terzaghi C Macchi V Borgo E . Unicompartmental knee replacement combined to anterior cruciate ligament reconstruction: midterm results
Princess Grace Hospital, London, UK
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Princess Grace Hospital, London, UK
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Princess Grace Hospital, London, UK
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Princess Grace Hospital, London, UK
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that up to 20% of patients remain dissatisfied following TKA. 2 , 6 – 11 Accurate implant positioning, balanced flexion-extension gaps, proper ligament tensioning, and preservation of the periarticular soft tissue envelope are important surgeon
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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plateau. Reconstruction of tibial plateau fractures and avulsions of the posterior cruciate ligament . Der Unfallchirurg 2014 117 813 – 821 . ( https://doi.org/10.1007/s00113-013-2418-x ) 20. Prat-Fabregat S Camacho-Carrasco P . Treatment strategy
