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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. When the knee starts to flex, the initial contact is centred at the distal/lateral edge of the patellar articular surface, which bears against the proximal/lateral extremity of the trochlea. Thus, in early flexion there is a mechanism to ‘catch’ the
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fixation devices are nowadays available ( 29 ) with different donor site morbidity and various potential impacts on the extensor mechanism and bony structures of the knee ( 30 ). Only three papers ( 16 , 17 , 19 ) reported details on the graft type used
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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.1016/s0749-8063(0580053-2 ) 45. Judet J Judet R Lagrange J . Une technique de libération de l'appareil extenseur dans les raideurs du genou [Technique of liberation of the extensor apparatus in knee stiffness] . Memoires. Academie de Chirurgie
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Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
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the knee. The growth of arthroplasty surgery and the subsequent technologic development of new, reliable and better performing prostheses, mostly implanted in elderly patients with low function, led to a progressive loss of interest for osteotomies
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due to increased Q angle and the lateral vector of the quadriceps mechanism. Genu valgum >10°, mechanical axis in or outside the lateral knee compartment, and a mechanical lateral distal femoral angle (mLDFA) <84° in a skeletally immature patient have
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-implantation. Salvage procedures Arthrodesis : The most common indications for knee arthrodesis are persistent infection after repeating staged knee revisions, massive bone or soft tissue loss, and irreparable damage of the extensor mechanism. 100 , 101 The
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
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Department of Biomedical Engineering, University of Basel, Basel, Switzerland
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Murdoch Children’s Research Institute, Melbourne, Victoria, Australia
The University of Melbourne, Melbourne School of Engineering, Melbourne, Victoria, Australia
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Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Department of Biomedical Engineering, University of Basel, Basel, Switzerland
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is associated with larger forces produced by the knee extensors. Repetitive high loads on the patella might lead to an overload of the patellar ligament and the onset of Osgood–Schlatter disease. Conclusions The aim of this narrative
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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surgery, polymicrobial infection or an extensor mechanism deficit, we would recommend using a static spacer. This is either a handmade cement spacer (sometimes around an arthrodesis IM nail) or an injection-moulded spacer. In summary, the literature on
ICATKnee, Institut Catalá de Traumatologia i Medicina de l’Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain
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ICATKnee, Institut Catalá de Traumatologia i Medicina de l’Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain
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posterolateral bundle ( 58 ). Gait analysis may reveal the presence of a valgus/varus thrust or hyperextension, which may be indicative of a more complex structural problem that should be addressed prior to any revision. Likewise, extensor mechanism dysfunction
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Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
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indication for amputation surgery. However, there is still low evidence to clearly decide whether to choose knee disarticulation (KDA) instead of transfemoral amputation (TFA) or transtibial amputation (TTA) instead of partial foot amputation (PFA) based on